- Molina Healthcare (GA)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- **Senior Guidewire Business Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Alabama, Birmingham ... Type:** Full Time **Position Description:** We are seeking a seasoned Guidewire Business Analyst to support ongoing enhancements and steady-state operations for… more
- Highmark Health (Atlanta, GA)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses,...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...and continuing education requirement. + Communicate with all internal business partners including underwriters to make sure underwriting is… more
- Elevance Health (Atlanta, GA)
- **Actuarial Analyst III** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- Elevance Health (Atlanta, GA)
- …authorization, and membership data to tell a detailed story to respective business stakeholders. The Advanced Analytics Analyst Senior creates statistical models ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The… more
- Elevance Health (Atlanta, GA)
- …Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and ... **Rating/ Claims Systems Implementation Advisor** **Location:** Norfolk, VA; Atlanta,...edits to drive cost saving results. + Works with business owners to identify and analyze requirements and processes… more
- Molina Healthcare (Augusta, GA)
- …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more