- Highmark Health (Atlanta, GA)
- …+ **MUST BE A US CITIZEN ** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (eg ... claims , billing, customer service, etc.) **Preferred** + Experience in...+ Business Requirements + Collaborative Problem Solving + Project Management **Languages (other than English)** None **Travel Required** 0%… more
- Elevance Health (Atlanta, GA)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- Highmark Health (Atlanta, GA)
- …Degree **EXPERIENCE** **Required** + 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims , billing, customer service, etc.) **Preferred** + 0 -...+ Business Requirements + Collaborative Problem Solving + Project Management **Languages (other than English)** None **Travel Required** 0%… more
- Molina Healthcare (Savannah, GA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Augusta, GA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- AIG (Atlanta, GA)
- …analytics and performance measurement. They collaborate with Marketing, Operations and Financial Management . What you need to know: We are seeking an actuarial ... expertise to assist with pricing the Commercial Property business. The Actuarial Analyst will be responsible for profitability studies, portfolio deep dives, working… more
- Elevance Health (Atlanta, GA)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... Review medical record documentation in support of Evaluation and Management , CPT, HCPCS and ICD-10 code. + Reviews company...to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues… more
- Molina Healthcare (Macon, GA)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Cardinal Health (Atlanta, GA)
- …Improvement is responsible within the sales organization for program/project management relative to the development of sales tools for productivity ... data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that… more
- Molina Healthcare (GA)
- …processes, encounter processes, provider and contract configuration, provider information management , claims processing and other related functions. **Preferred ... Responsible for providing business process redesign, communication and change management for operations. Backend operationalization of policies, standardization of… more