- Evolent (Atlanta, GA)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... public health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor, managed care, or… more
- Prime Therapeutics (Atlanta, GA)
- …5 years of relevant Healthcare experience including: analyzing and using healthcare claims data, clinical research study design, and/or epidemiology + ... is responsible for the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety of data and outputs… more
- Highmark Health (Atlanta, GA)
- …efforts. Daily responsibilities will involve the in-depth analysis of complex healthcare claims data utilizing advanced analytical techniques to detect ... analytical strategies. - Develop and optimize SQL queries to extract data from healthcare claims databases. - Analyze large datasets of healthcare claims … more
- Evolent (Atlanta, GA)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... to our culture. **What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to… more
- Molina Healthcare (Macon, GA)
- …with various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Evolent (Atlanta, GA)
- …seamlessly with diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... preferred. + 10+ years of analytics & reporting experience in healthcare , including medical economics, cost/utilization analysis, and membership trend reporting. +… more
- Molina Healthcare (GA)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal ... to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion… more
- Molina Healthcare (Augusta, GA)
- …Job Summary Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim issues, and ... researching, investigating and ensuring appropriate resolution of claims . **Essential Job Duties** * Responds to incoming calls from providers regarding claims … more
- Molina Healthcare (Atlanta, GA)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise,… more
- Motion Recruitment Partners (Atlanta, GA)
- …Prefer those with Agile and SAFe development environment experience. + Experience with healthcare claims processing applications is a big plus! + Excellent ... an experience Java Software Engineer to join our team and develop leading healthcare applications. This role will be full stack Java development so looking for… more