- Axis (Alpharetta, GA)
- … Analyst to join our Business Technology Services (BTS) division, focusing on supporting claims operations and our claims value stream in a fast-paced ... user stories and acceptance criteria for Agile teams. + Identify inefficiencies within claims operations through gap analyses, recommend solutions, and work with… more
- AIG (Atlanta, GA)
- …an impact The Claims Business Analyst partners with North America Claims , North America Claims Operations , and other functional areas to support ... we help customers to manage risk. Join us as Claims Business Analyst to play your part...a reasonable accommodation, please send an email to ###@aig.com. Functional Area: OP - Operations AIG Claims ,… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in that transformation. It's an ... will create an impact Full Time US-based employment, the Claims Law Firm Analyst shall be responsible...from AIG's Law Firm contract template; + Participate and lead Law Firm pricing negotiations; + Document and summarize… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen....operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- Elevance Health (Atlanta, GA)
- **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance &… more
- Elevance Health (Atlanta, GA)
- **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures financial performance of core Carelon products… more
- Highmark Health (Atlanta, GA)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... federal, and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and… more
- Carter's/OshKosh (Atlanta, GA)
- …many reasons to build your career at Carter's. The HR Technology & Compliance Analyst plays a key role in optimizing Carter's workforce operations by ensuring ... and compliant employee data within Workday, and overseeing the unemployment claims process in coordination with a third-party administrator. This position supports… more
- Molina Healthcare (Augusta, GA)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- CVS Health (Atlanta, GA)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
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