- Brown-Forman (Atlanta, GA)
- …(MFL) and earthquake Probable Maximum Loss (PML) estimate calculations, providing robust data to inform our risk transfer strategies. + _Global Compliance and ... insurance claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. +… more
- Highmark Health (Atlanta, GA)
- …+ 2 years of Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 1 year of Project ... :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities aligned to the Quadruple Aim… more
- Molina Healthcare (Augusta, GA)
- …+ Perform research and analysis of complex healthcare utilization and performance date, claims data , pharmacy data , and lab data ... on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. + Develop and direct… more
- WTW (Atlanta, GA)
- …plan design, vendor evaluation and management, pricing and funding strategies, data analytics, valuation support, and legal compliance and governance strategies. We ... management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy… more
- Molina Healthcare (GA)
- …+ Computer Science or Info tech + Testing experience required + Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. **PREFERRED EXPERIENCE:** + ... SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and… more
- BrightSpring Health Services (Valdosta, GA)
- …related in health care administrative, financial, or insurance customer services, claims , billing, call center or management regardless of industry. + Proficient ... 10 key skills. + Possess the technical aptitude required to understand flow of data through systems as well as system interactions. + HCHB (Home Care Home Base)… more
- Molina Healthcare (Augusta, GA)
- …cross-functional coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & ... the role. + Validate findings and test assumptions through data , but lead with contextual knowledge of claims...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- The Hartford (Alpharetta, GA)
- …a seasoned technology leader to oversee the development and maintenance of our Claims application ecosystem. This role is pivotal in driving the modernization and ... operational excellence of our Claims systems, which are built on a modern tech...lead a team of Tech Leads, Senior Developers, Business Analyst , and Scrum Master, and will be responsible for… more
- Molina Healthcare (Atlanta, GA)
- …core function of the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing, provider contracts, ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Prime Therapeutics (Atlanta, GA)
- …2+ years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, ... creating and contributing to various facets of information delivery and data analytics projects. Expectations include analyzing, designing, and developing business… more