- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
- AIG (Atlanta, GA)
- …help customers to manage risk. Join us as a Privileged Access Management Technical Analyst to play your part in that transformation. It's an opportunity to grow your ... is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The Business Analyst II reports to the Supervisor of the Central Business Unit (CBU) and performs moderate to complex tasks within our claims ... corporate staff on benefit and contract updates, and system projects to support resolution of issues. **Schedule** + Flexible schedule, Mon-Fri during normal… more
- Evolent (Atlanta, GA)
- …accuracy, collaboration, and innovation, ensuring that all team members receive the support , tools, and skills to positively contribute to Evolent's broader mission. ... will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will partner with stakeholders… 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
- Lockheed Martin (Kings Bay, GA)
- …financial tasks to include resource controls, proposal preparation, and resource estimating support for the Fleet Ballistic Missile \(FBM\) Program at its Kings Bay, ... \(EACs\) in the Earned Value Management tool \(COBRA\)\. In addition, you will claim performance Budget Cost of Work Performed \(BCWP\) monthly\. \- You will utilize… more
- WTW (Atlanta, GA)
- …evaluation and management, pricing and funding strategies, data analytics, valuation support , and legal compliance and governance strategies. We also provide ... management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy… more
- Molina Healthcare (GA)
- …and test analytics, enforcing test quality standards, and providing whole project support and oversight. In addition to integration with other projects. Responsible ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
- Molina Healthcare (Augusta, GA)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external… more
- Molina Healthcare (Augusta, GA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** +… more