- BrightSpring Health Services (Valdosta, GA)
- …Ensures all batches/checks, denials, and adjustments are keyed and posted within 2 business days of receipt. + Meets productivity standards for keyed payments and ... related in health care administrative, financial, or insurance customer services, claims , billing, call center or management regardless of industry. + Proficient… more
- CVS Health (Atlanta, GA)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... Provides input regarding controls for monitoring fraud related issues within the business units. - Exercises independent judgement and uses available resources and… more
- Prime Therapeutics (Atlanta, GA)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, ... creation of new data assets or information exchange in support of business needs. + Creates and/or guides the creation of database tables, objects, assets and/or… more
- Kemper (Alpharetta, GA)
- …solutions drive business value. **Qualifications:** * 5+ years in data -centric roles ( analyst , developer, architect, consultant). * Experience functioning as ... solutions. * Serve as a subject matter expert on business data in projects and transformations. *...etc). * Strong understanding of data and business architecture, with P&C Insurance and Claims … more
- Molina Healthcare (Augusta, GA)
- …cross-functional coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** ** Business Leadership ... the role. + Validate findings and test assumptions through data , but lead with contextual knowledge of claims...+ At least 7 years of experience as a Business Analyst or Program Manager in a… more
- Elevance Health (Atlanta, GA)
- …take edits from concept to specification and then through review, testing and finally data validation. Your goal is to develop claims editing logic and content ... meet financial and operational targets. As a Clinical Content Analyst , you'll research and interpret CMS, CPT/AMA and other...and transparency across Medicaid, Medicare, and Commercial lines of business . **How you will make an impact:** + Works… more
- Cognizant (Atlanta, GA)
- …Creek implementations. **These will help you stand out** - Duck Creek-specific Business Analyst certifications (eg, Duck Creek Reinsurance, Duck Creek Policy). ... **About the role** As a Reinsurance Business Architect you will make an impact leading...experience with Duck Creek Technologies' platforms (Reinsurance, Policy, Billing, Claims , and/or Rating) in transformation programs. . Proven success… more
- Molina Healthcare (Atlanta, GA)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims… 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 ... work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team… more