- Norstella (Atlanta, GA)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
- Molina Healthcare (Augusta, GA)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... **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)
- …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and...provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply… more
- Humana (Atlanta, GA)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- AIG (Atlanta, GA)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the ... risk. Join us as a Privileged Access Management Technical Analyst to play your part in that transformation. It's...create an impact The Privileged Access Management (PAM) Technical Analyst is responsible for working cross functionally with IT… more
- Molina Healthcare (GA)
- …conducts research to resolve customer initiated issues related to core systems processing , and coordinates and manages project teams in the development of large ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
- Molina Healthcare (Augusta, GA)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Create succinct ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Molina Healthcare (Atlanta, GA)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Prime Therapeutics (Atlanta, GA)
- …those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing , Prior Authorization, Telephony, Membership, etc.). + Consideration will be ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more