- Cognizant (Atlanta, GA)
- About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will.... Perform Automation testing of backend services, APIs, and data flows. . Validate API endpoints using Swagger and… more
- Molina Healthcare (Columbus, GA)
- …to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... **Job Duties for this position:** * Analyze and interpret data to determine appropriate configuration. * Comprehensive understanding of...of experience in claims as Adjuster or claims examiner in the healthcare field **PHYSICAL… more
- Prime Therapeutics (Atlanta, GA)
- …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as...functions on project lifecycle as assigned + Perform daily claims monitoring and data validation activities +… more
- Molina Healthcare (Columbus, GA)
- …skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, ... and Power BI, organizing and managing large and varied data sets, analyzing healthcare data ...analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI,… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst... Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Molina Healthcare (Macon, GA)
- …in California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based… more
- Molina Healthcare (Columbus, GA)
- …DESCRIPTION** Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab ... Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare ...of data representing a wide range of healthcare information. + Identifies and completes report enhancements/fixes. +… more
- Molina Healthcare (Atlanta, GA)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and… more
- Molina Healthcare (Augusta, GA)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
- Evolent (Atlanta, GA)
- …**What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
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