- CVS Health (Atlanta, GA)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... case summaries and make referrals to State and Federal Agencies within the timeframes required by Law. + Facilitates the recovery of company and customer money lost… more
- CVS Health (Atlanta, GA)
- …setup, essential for online viewing and processing, related to customer service, claims , enrollment, billing, and reporting, in support of internal and external ... to minimize manual processing and disruption for the clients. + Uses business knowledge and experience to make plan design and processing recommendations when… more
- Prime Therapeutics (Atlanta, GA)
- …of individuals with 2+ years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business ... and drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description**...+ Bachelors - Mathematics + Bachelors - Statistics + Required + Yes + Yes + Yes + Yes… more
- Molina Healthcare (Augusta, GA)
- …** REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** ** Business Leadership & Operational Ownership**… more
- Elevance Health (Atlanta, GA)
- ** Business Information Consultant Senior - Provider Economics** The ** Business Information Consultant Senior** is responsible for value-based financial model ... impact of provider payment models for all lines of business . This position is responsible for serving as an...considered for employment, unless an accommodation is granted as required by law. **How You Will Make an Impact:**… more
- Elevance Health (Atlanta, GA)
- …location(s) will not be considered for employment, unless an accommodation is granted as required by law._ _PLEASE NOTE: This position is not eligible for current or ... meet financial and operational targets. As a Clinical Content Analyst , you'll research and interpret CMS, CPT/AMA and other...and finally data validation. Your goal is to develop claims editing logic and content that promote payment accuracy… more
- The Hartford (Alpharetta, GA)
- …Lambda functions. The Director will lead a team of Tech Leads, Senior Developers, Business Analyst , and Scrum Master, and will be responsible for delivering ... system using .NET/C#, Angular SPA, and AWS serverless components. + Collaborate with business stakeholders to align technology solutions with Claims strategy and… more
- Highmark Health (Atlanta, GA)
- …Collection of Documents (COD). Oversee day to day department operations. Manage AI Business Analyst staff and AI Coordinators. Responsible for overseeing all ... by the company in lieu of bachelor's degree **Preferred** + Master's Degree in Business **EXPERIENCE** ** Required ** + 5 - 7 years in Accounts Receivable,… more
- UIC Government Services and the Bowhead Family of Companies (Kingsland, GA)
- …Technician, an Electronics Technician, a Logistics Specialists and a Program Analyst . + Develops, plans and establishes objectives and priorities; plans, presents, ... Responsible for continuous process improvement in all aspects of business processes, policies and procedures. + Hears and resolves...to the location of this work, US Citizenship is required . Bowhead reserves the right to change this requirement… more
- American Express (Atlanta, GA)
- …Collaborate with internal and external partners to improve customer experience, deliver on business goals and enhance claims and servicing + For external ... and fee-based insurance products and services for customers across the Consumer, Small Business and Corporate portfolios, totaling $170M in Revenue. The team has an… more