- Highmark Health (Atlanta, GA)
- …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... data + 3 years of project leadership in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or… 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
- Molina Healthcare (Atlanta, GA)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- The Hartford (Alpharetta, GA)
- …This role is pivotal in driving the modernization and operational excellence of our Claims systems , which are built on a modern tech stack including ASP.Net ... lead a team of Tech Leads, Senior Developers, Business Analyst , and Scrum Master, and will be responsible for...and leadership skills. Preferred Qualifications: + Deep understanding of Claims processes and systems in the Insurance… more
- Highmark Health (Atlanta, GA)
- …work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team ... receipts, checks, invoices, amounts, group numbers, etc., using the Billing system , Maintenance of bank lockbox accounts, Developmentand analysis of aging reports,… more
- Prime Therapeutics (Atlanta, GA)
- …+ A bachelor's degree in business intelligence, management information systems , mathematics, statistics, analytics, computer and information sciences or similar ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more
- UIC Government Services and the Bowhead Family of Companies (Kingsland, GA)
- …Technician, an Electronics Technician, a Logistics Specialists and a Program Analyst . + Develops, plans and establishes objectives and priorities; plans, presents, ... the operation, maintenance, design or testing of HM&E machinery systems in the area of repair and modifications for...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Cognizant (Atlanta, GA)
- …streams, and requirements tailored to Duck Creek Reinsurance. Policy and/or Rating systems . Engage with P&C client stakeholders to gather requirements, validate ... teams to develop training materials and adoption strategies for Duck Creek systems , ensuring smooth user transitions. . Advise clients on leveraging Duck Creek's… more
- Prime Therapeutics (Atlanta, GA)
- …Forecasting Principal - Finance - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, managing, analyzing, and delivering ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex… more