- Evolent (Atlanta, GA)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make… more
- Cushman & Wakefield (Atlanta, GA)
- **Job Title** Facilities Analyst **Job Description Summary** Under the supervision of the Facilities Manager, the Facility Analyst will manage and troubleshoot ... that arise in the client retail stores. The Facility Analyst is charged with ensuring that vendors and projects...* Collect, analyze and prepare reports of such statistical data as may be required to provide accurate and… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
- Molina Healthcare (Augusta, GA)
- … data solutions. **KNOWLEDGE/SKILLS/ABILITIES** * Partner with clinical, operational, and business teams to understand data needs and translate requirements ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , authorization, pharmacy, and lab datasets. * Build… more
- Molina Healthcare (Macon, GA)
- … data solutions. JOB DUTIES: + Partner with clinical, operational, and business teams to understand data needs and translate requirements into actionable ... solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy, and lab datasets. + Build and maintain… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Molina Healthcare (Macon, GA)
- …critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Highmark Health (Atlanta, GA)
- …to aggregate, analyze and understand patterns in varied and complex data ; and articulates analytic findings, business implications, and recommendations ... + 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend changes,...and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare… more
- WTW (Atlanta, GA)
- …to present another valid form of work authorization. ** **We are in the business of transforming tomorrows. Join us and transform yours.** **The Business ** ... plan design, vendor evaluation and management, pricing and funding strategies, data analytics, valuation support, and legal compliance and governance strategies. We… more