- Elevance Health (Columbus, GA)
- ** Medicare Risk Adjustment Advanced Analytics Analyst ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst ** is...Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives. + Performs data… more
- Molina Healthcare (Augusta, GA)
- …to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to ... to and compliance with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving business-critical… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.… more
- Humana (Atlanta, GA)
- …and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and ... of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data … more
- Elevance Health (Atlanta, GA)
- **Business Information Consultant - Pharmacy Analyst , Trend and Cost of Care** **Location:** This role requires associates to be in-office **1** day per week, ... Hours:** Monday - Friday, 8:00am - 5:00pm The **Business Information Consultant - Pharmacy Analyst , Trend and Cost of Care** is responsible for serving as an expert… more
- Molina Healthcare (Atlanta, GA)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data ,… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...and complex actuarial models + Lead, perform, and review data analyses, reporting, and projections + Lead, perform, and… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... identifying opportunities to improve financial performance. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities. **Job… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
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