- Quality Technology Services, LLC (Duluth, GA)
- The **Capital Strategy Analyst i** s responsible for the strategy, analysis, and communication of critical development project capital for active and future ... of construction management exposure * Advanced capabilities in Microsoft Excel ** PREFERRED QUALIFICATIONS** * Experience working in data center construction *… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… more
- The Hartford (Alpharetta, GA)
- …team as we help shape the future. As a Senior Specialist, Product Delivery Analyst , for the Shared Services PEG Implementation Team, you will play a critical role ... and root cause analysis. Qualification: * Bachelor's degree or equivalent experience preferred .* 2 years of Employee Benefits business experience in operations, … more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more
- Molina Healthcare (Macon, GA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... equivalent combination of education and experience **Required Experience** 7-9 years ** Preferred Education** Graduate Degree or equivalent experience ** Preferred … more
- Highmark Health (Atlanta, GA)
- …Epidemiology or Pharmacy or closely related field **Substitutions** + None ** Preferred ** + Master's Degree in Medicine, Public Health, Nursing, Economics, Health ... 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership… 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 utilization and ... experience in quantifying, measuring, and analyzing financial/performance management metrics ** Preferred Education** Bachelor's Degree in Finance, Economics, Math, or… more
- BrightSpring Health Services (Valdosta, GA)
- …cash. Qualifications + High School diploma or equivalent, associate degree or higher preferred . + Level I requirement: one year work related in health care ... administrative, financial, or insurance customer services, claims , billing, call center or management regardless of industry. + Proficient computer skills and… more
- WTW (Atlanta, GA)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy ... degree with a minimum overall GPA of 3.0 + Preferred course work may include human capital/human resource management,...Successful completion of one or more actuarial exams highly preferred + Ability to be a self-starter and work… more
- 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 ... media and internet research. + Ability to Travel for Business purposes. ** Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Bilingual… more