- 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 (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
- Elevance Health (Atlanta, GA)
- ** Data Scientist Analyst ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... accommodation is granted as required by law. As a ** Data Scientist Analyst ** , you will support...that uncover early signals in cost trends across Medicaid, Medicare , Local Group, and Individual markets. You'll collaborate with… more
- 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
- 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
- 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 (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 (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
- 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
- Evolent (Atlanta, GA)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... end to end testing in the specialty domain. Test data is analyzed to inform decision makers. Data...exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across… more