- Molina Healthcare (Atlanta, GA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Augusta, GA)
- …analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + ... **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Evolent (Atlanta, GA)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Molina Healthcare (Macon, GA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- 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. ... Skills, Capabilities, and Experiences:** + Extensive knowledge in payment integrity, claims analysis, and healthcare payment models. + Agile experience… more
- Elevance Health (Atlanta, GA)
- **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance &… more
- 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 (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 (Atlanta, GA)
- **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **Recovery Audit Analyst I** is responsible for auditing and facilitating the...is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible… more
- 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