- 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 ... needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one...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
- Prime Therapeutics (Atlanta, GA)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness ... drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst... extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify… 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 ... role requires a candidate with a strong understanding of data analysis, claims processing, and audit processes...edits to drive cost saving results. + Works with business owners to identify and analyze requirements and processes… more
- Elevance Health (Atlanta, GA)
- …and membership data to tell a detailed story to respective business stakeholders. The Advanced Analytics Analyst Senior creates statistical models to ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...financial services highly preferred. + Comprehensive understanding of medical claims data . + Intermediate to Advanced expertise… more
- Prime Therapeutics (Atlanta, GA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Prime Therapeutics (Atlanta, GA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Evolent (Atlanta, GA)
- …team serves as strategic advisors, analysts, and subject matter experts, leveraging data to uncover meaningful business insights. We value curiosity, creativity, ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims… more
- Carter's/OshKosh (Atlanta, GA)
- …integrity of Time & Labor Management systems, maintaining accurate and compliant employee data within Workday, and overseeing the unemployment claims process in ... many reasons to build your career at Carter's. The HR Technology & Compliance Analyst plays a key role in optimizing Carter's workforce operations by ensuring the… more
- Norstella (Atlanta, GA)
- …to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this ... in healthcare data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and… more