- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Prime Therapeutics (Atlanta, GA)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness ... drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst... extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify… more
- Prime Therapeutics (Atlanta, GA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Prime Therapeutics (Atlanta, GA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Elevance Health (Atlanta, GA)
- …analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data . + Intermediate to Advanced expertise with software ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell… more
- Highmark Health (Atlanta, GA)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider Data… more
- Carter's/OshKosh (Atlanta, GA)
- …integrity of Time & Labor Management systems, maintaining accurate and compliant employee data within Workday, and overseeing the unemployment claims process in ... many reasons to build your career at Carter's. The HR Technology & Compliance Analyst plays a key role in optimizing Carter's workforce operations by ensuring the… more
- Evolent (Atlanta, GA)
- …insights and compelling narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization ... the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique… more
- Norstella (Atlanta, GA)
- …to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results,… more
- Evolent (Atlanta, GA)
- …quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data . + Demonstrable experience with Testing, Writing Test cases, ... for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem...end to end testing in the specialty domain. Test data is analyzed to inform decision makers. Data… more