• Senior Analyst , Operational Regulatory…

    Molina Healthcare (Augusta, GA)
    …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (08/22/25)
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  • Senior Actuarial Analyst ( Medicare

    Molina Healthcare (Savannah, 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
    Molina Healthcare (07/25/25)
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  • Data Analyst

    CenterWell (Atlanta, GA)
    …established guidelines and procedures. Humana is seeking an experienced Informaticist 2 / Data Analyst to support its medication adherence initiatives. This role ... courses of action. The Informaticist 2 applies advanced expertise in data analytics, modeling, optimization, and analytical tools to support strategic… more
    CenterWell (08/29/25)
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  • Lead Analyst , Payment Integrity

    Molina Healthcare (GA)
    …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… more
    Molina Healthcare (08/20/25)
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  • Pharmacy Financial Analyst , Cost of Care…

    Elevance Health (Atlanta, GA)
    **Pharmacy Financial Analyst , Cost of Care - Business Information Consultant** **Location:** This role requires associates to be in-office **1** day per week, ... law._ **Work Hours:** Monday - Friday, 8:00am - 5:00pm The **Pharmacy Financial Analyst , Cost of Care - Business Information Consultant** is responsible for serving… more
    Elevance Health (07/25/25)
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  • Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (Savannah, 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
    Molina Healthcare (07/17/25)
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  • Risk Adjustment Audit Operations Analyst

    Molina Healthcare (Augusta, GA)
    …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data , regulatory processes, and ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...or analytics + Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage… more
    Molina Healthcare (08/08/25)
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  • Actuarial Analyst III

    Elevance Health (Atlanta, GA)
    **Actuarial Analyst III** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
    Elevance Health (08/23/25)
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  • Actuarial Analyst 2

    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
    Humana (08/16/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (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 (08/31/25)
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