- Molina Healthcare (Atlanta, GA)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Prime Therapeutics (Atlanta, GA)
- …systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + ... **Additional Qualifications** + A bachelor's degree in business intelligence, management information systems, mathematics, statistics, analytics, computer and information… more
- UIC Government Services and the Bowhead Family of Companies (Kingsland, GA)
- …Technician, an Electronics Technician, a Logistics Specialists and a Program Analyst . + Develops, plans and establishes objectives and priorities; plans, presents, ... include Five (5) years or more of combined Project Management or equivalent experience as to demonstrate working capabilities...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… 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 ... business offering. We will incorporate best-in-class engineering and product management principles and your guidance and collaboration will be...key part of that transformation. As a GenAI Product Analyst you will have the opportunity to make a… more
- Cognizant (Atlanta, GA)
- …custom code and leveraging Duck Creek proprietary tools. . Partner with change management teams to develop training materials and adoption strategies for Duck Creek ... hands-on experience with Duck Creek Technologies' platforms (Reinsurance, Policy, Billing, Claims , and/or Rating) in transformation programs. . Proven success in… more
- Prime Therapeutics (Atlanta, GA)
- …Forecasting Principal - Finance - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, managing, analyzing, and delivering ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex… more
- Kemper (Alpharetta, GA)
- …drive business value. **Qualifications:** * 5+ years in data-centric roles ( analyst , developer, architect, consultant). * Experience functioning as or closely ... supporting an Agile Product Owner, including backlog management , prioritization, and working with cross-functional teams. * Degree in a technical or business field;… more
- Evolent (Atlanta, GA)
- …(Required):** + Bachelor's Degree + 2+ years' experience in healthcare, IT business analyst , and/or product management + Experience working with FHIR - based ... (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical data) is preferred + Prior Experience… more