- Molina Healthcare (Macon, GA)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... the numbers, assess business impacts, and make recommendations through use of healthcare analytics , etc. + Analysis of trends in medical costs to provide analytic… more
- Molina Healthcare (GA)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional… more
- Evolent (Atlanta, GA)
- …in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to communicate ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Molina Healthcare (Savannah, GA)
- …scrubbing, scrapping, and cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst ** **Location** :...applicable. + Recommends standardized practices to optimize cost of care . + Educates provider contractors on contracting analytics… more
- Elevance Health (Atlanta, GA)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of… more
- Molina Healthcare (GA)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Capgemini (Atlanta, GA)
- **Job Title:** Senior Senior Service Management Consultant - ServiceNow Business Analyst - SIAM **Location:** Chicago, IL; Houston, TX; Dallas, TX; NY, NY; New ... **Travel:** 25% **Job Description:** Job Summary The ServiceNow SIAM Business Analyst is a client-facing expert responsible for designing, implementing, and… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Actuarial Analyst 1 provides actuarial support across a broad range of actuarial and business needs ... for specific product lines. The Actuarial Analyst 1, General work assignments are often straightforward and of moderate complexity. The Actuarial Analyst 1 may… more
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