• Risk Adjustment Audit Operations Analyst

    Molina Healthcare (Augusta, GA)
    …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data , regulatory processes, and ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...or another programming language + Basic familiarity with healthcare data types such as claims , encounters, or… more
    Molina Healthcare (08/08/25)
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  • Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (Savannah, GA)
    …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data modelling and… more
    Molina Healthcare (07/17/25)
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  • Senior Analyst , Medical Economics - REMOTE

    Molina Healthcare (Augusta, GA)
    …from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
    Molina Healthcare (07/10/25)
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  • Provider Network Analyst Lead

    Elevance Health (Atlanta, GA)
    …working with Provider network analytics strongly preferred. + Healthcare contracting and claims data experience strongly preferred. + Advanced Excel skills ... is granted as required by law. The **Provider Network Analyst Lead** reviews and strategizes between data ,...development, client services, and actuarial services. + Manages large data sets, including claims and UM … more
    Elevance Health (08/02/25)
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  • Financial Analyst 2

    State of Georgia (Fulton County, GA)
    Financial Analyst 2 Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/71231/other-jobs-matching/location-only) New ... and Business Operations is recruiting for an experienced Financial Analyst II. Under limited supervision and according to Generally...various systems and to ensure v erify accuracy of data to ensure compliance with GAAP + Identify improvements… more
    State of Georgia (08/15/25)
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  • Senior Analyst , Healthcare Analytics…

    Molina Healthcare (GA)
    …in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, and vendor ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision… more
    Molina Healthcare (08/14/25)
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  • Senior Analyst , Risk Adjustment…

    Molina Healthcare (Columbus, GA)
    …discipline **Required Experience** + 3-5 Years of experience with healthcare-related data ( claims /encounters, provider, CMS/EDGE response files, etc. + 3-5 ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data more
    Molina Healthcare (08/03/25)
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  • Business Information Analyst Senior…

    Elevance Health (Atlanta, GA)
    …using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data , provider data , utilization data ) and ... **Business Information Analyst Senior - Provider Economics** **Location:** This role...is responsible for analyzing, reporting and developing recommendations on data related to complex and varied business metrics. **How… more
    Elevance Health (07/23/25)
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  • Senior Internal Business Systems Analyst

    Highmark Health (Atlanta, GA)
    …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
    Highmark Health (07/11/25)
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  • Senior Reporting Analyst

    CVS Health (Atlanta, GA)
    …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives...AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry,… more
    CVS Health (08/16/25)
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