- Evolent (Atlanta, GA)
- …quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data . + Demonstrable experience with Testing, Writing Test cases, ... exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting , and technical...acceptance test cases + perform administrative tasks for status reporting or other data related needs +… more
- Prime Therapeutics (Atlanta, GA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Prime Therapeutics (Atlanta, GA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Molina Healthcare (Savannah, GA)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... and other analytic / programming tools as needed + Reporting includes Risk Adjustment program performance metrics, risk score...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Molina Healthcare (GA)
- …in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, and vendor ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...from requestors to develop Notebooks, Workflows, and Power BI reporting using multiple data sources, crosswalks, and… more
- Elevance Health (Atlanta, GA)
- …by law. The **Provider Network Analyst Lead** reviews and strategizes between data , creates models, and reporting spreadsheets to help aid the network team ... **Provider Network Analyst Lead** **Location:** This role requires associates to...Provider network analytics strongly preferred. + Healthcare contracting and claims data experience strongly preferred. + Advanced… more
- State of Georgia (Fulton County, GA)
- Financial Analyst 2 Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/71231/other-jobs-matching/location-only) New ... and Business Operations is recruiting for an experienced Financial Analyst II. Under limited supervision and according to Generally...include, but are not limited to: + Prepare federal reporting r equirements for the agency which includes Federal… more
- Elevance Health (Atlanta, GA)
- …law. The **Business Information Analyst Senior** is responsible for analyzing, reporting and developing recommendations on data related to complex and varied ... **Business Information Analyst Senior - Provider Economics** **Location:** This role...+ Develops and analyzes business performance reports (eg for claims data , provider data , utilization… more
- Highmark Health (Atlanta, GA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Molina Healthcare (Macon, GA)
- …solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy, and lab datasets. + Build and maintain ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more