- 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
- Elevance Health (Atlanta, GA)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... meet financial and operational targets. As a Clinical Content Analyst , you'll research and interpret CMS, CPT/AMA and other...and finally data validation. Your goal is to develop claims editing logic and content that promote payment accuracy… more
- The Hartford (Alpharetta, GA)
- …Master, and will be responsible for delivering high-quality, scalable, and secure solutions that support our Claims operations. This role will have a Hybrid work ... leader to oversee the development and maintenance of our Claims application ecosystem. This role is pivotal in driving...the US without company sponsorship. The company will not support the STEM OPT I-983 Training Plan endorsement for… more
- Molina Healthcare (Atlanta, GA)
- …thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners with Network to ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Kemper (Alpharetta, GA)
- …* Create and maintain focused data assets (eg, marts, reporting layers). * Support data analysis by translating analytical needs into data requirements. * Facilitate ... drive business value. **Qualifications:** * 5+ years in data-centric roles ( analyst , developer, architect, consultant). * Experience functioning as or closely… more
- Highmark Health (Atlanta, GA)
- …to work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support . This ... of Quote to ID card status to customers, including Groups, Sales and Support teams within the company. Responsible for resource planning, budget compilation and… more
- UIC Government Services and the Bowhead Family of Companies (Kingsland, GA)
- …federal and commercial customers in the areas of engineering, maintenance services, information technology, program support , logistics/base support , and ... GA. to provide oversight and supervision of BOMS personnel providing material support and services to Program Executive Office Ships (PEO Ships), PMS300. PMS300… more
- Prime Therapeutics (Atlanta, GA)
- …for development initiatives that may drive the creation of new data assets or information exchange in support of business needs. + Creates and/or guides the ... objectives including creating and contributing to various facets of information delivery and data analytics projects. Expectations include analyzing, designing,… more
- AIG (Atlanta, GA)
- GenAI Product Manager with Claims ExperienceBe part of something groundbreakingAt AIG, we are making long-term investments in a brand-new, innovative Generative AI ... insurance and beyond, and we need your help.With the support and investment needed to explore new frontiers in...key part of that transformation. As a GenAI Product Analyst you will have the opportunity to make a… more
- Cognizant (Atlanta, GA)
- …in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs. Up to 50% ... hands-on experience with Duck Creek Technologies' platforms (Reinsurance, Policy, Billing, Claims , and/or Rating) in transformation programs. . Proven success in… more