• 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...Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters,… more
    Molina Healthcare (08/08/25)
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  • Board Certified Behavorial Analyst (BCBA)II…

    Emory Healthcare/Emory University (Atlanta, GA)
    …Familiarity with interdisciplinary team collaboration is essential, particularly in healthcare or psychiatric environments. The primary role of this position ... aligns with the university calendar. JOB DESCRIPTION: + Board Certified Behavioral Analyst (BCBA) II (Behavioral Clinical Practitioner BCPII ) in the Emory Autism… more
    Emory Healthcare/Emory University (07/29/25)
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  • Lead Analyst , Technical Configuration…

    Molina Healthcare (Savannah, GA)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (08/27/25)
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  • IT Business Systems Analyst Sr - Medicaid…

    Prime Therapeutics (Atlanta, GA)
    …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT… more
    Prime Therapeutics (08/27/25)
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  • Analyst , Provider Configuration

    Molina Healthcare (GA)
    …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/28/25)
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  • Analyst , Business Quality (Remote)

    Molina Healthcare (Macon, GA)
    …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/24/25)
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  • Actuarial Analyst III

    Elevance Health (Atlanta, GA)
    …BI/Tableau, and actuarial software tools. + Experience working with large administrative claims datasets and healthcare cost/utilization metrics. + Ability to ... **Actuarial Analyst III** **Location:** This role requires associates to...Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and… more
    Elevance Health (08/23/25)
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  • Advanced Analytics Analyst Senior - Medical…

    Elevance Health (Atlanta, GA)
    …of committed clinicians and business leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
    Elevance Health (08/20/25)
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  • Rating/ Claims Systems Implementation…

    Elevance Health (Atlanta, GA)
    …The role requires a candidate with a strong understanding of data analysis, claims processing, and audit processes associated with healthcare payment models. ... of study and a minimum of 6 years systems analyst or business analyst experience; or any...Capabilities, and Experiences:** + Extensive knowledge in payment integrity, claims analysis, and healthcare payment models. +… more
    Elevance Health (08/16/25)
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  • Sr. Medical Analyst

    Norstella (Atlanta, GA)
    …seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
    Norstella (07/31/25)
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