- Point32Health (GA)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... and have the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of… more
- AIG (Atlanta, GA)
- …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 ... 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… more
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... large and varied data sets, analyzing healthcare data for decision support , and communicating findings. Qualified candidates are the diligent problem solvers… more
- 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
- 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 (Augusta, GA)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… 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
- 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 (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information . Evaluates, writes, and presents healthcare utilization and cost...projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or… 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 ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in Business Administration or Information Technology or equivalent combination of education and experience… more