• Actuarial Analyst II

    Elevance Health (Atlanta, GA)
    **Actuarial Analyst II** **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 II** completes projects and performs complex actuarial studies. **How You Will… more
    Elevance Health (08/29/25)
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  • Senior Guidewire Business Analyst

    CGI Technologies and Solutions, Inc. (Atlanta, GA)
    **Senior Guidewire Business Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Alabama, Birmingham **Alternate ... Full Time **Position Description:** We are seeking a seasoned Guidewire Business Analyst to support ongoing enhancements and steady-state operations for a regional… more
    CGI Technologies and Solutions, Inc. (08/23/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Atlanta, GA)
    …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs, may lead some initiatives within their designated areas, and partners with key internal… more
    Prime Therapeutics (08/14/25)
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  • Privileged Access Management Technical…

    AIG (Atlanta, GA)
    …help customers to manage risk. Join us as a Privileged Access Management Technical Analyst to play your part in that transformation. It's an opportunity to grow your ... is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to… more
    AIG (06/14/25)
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  • Sr Analyst , Performance Suite Analytics

    Evolent (Atlanta, GA)
    …audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract, ... manage, and analyze claims and operational data using industry-standard metrics. + Process...using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,… more
    Evolent (06/24/25)
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  • Senior Clinical & Population Health Analyst

    Highmark Health (Atlanta, GA)
    …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... and non-technical, and internal and external audiences, and the ability to lead through influence + Healthcare industry expertise and experience, knowledge about the… more
    Highmark Health (07/22/25)
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  • Analyst , Business Quality (Remote)

    Molina Healthcare (Macon, GA)
    …Prepare and design test plans and test cases with the help of testing lead for both new and existing features (regression testing). + Vendor Management: Provides ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
    Molina Healthcare (08/24/25)
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  • Business Information Solutions Designer…

    Kemper (Alpharetta, GA)
    …drive business value. **Qualifications:** * 5+ years in data-centric roles ( analyst , developer, architect, consultant). * Experience functioning as or closely ... understanding of data and business architecture, with P&C Insurance and Claims experience preferred. * Excellent communication skills across disciplines and… more
    Kemper (08/07/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Augusta, GA)
    …of the role. + Validate findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
    Molina Healthcare (08/14/25)
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  • Clinical Content Strategy Manager

    Elevance Health (Atlanta, GA)
    …content strategy to meet financial and operational targets. As a Clinical Content Analyst , you'll research and interpret CMS, CPT/AMA and other major payer policies ... and finally data validation. Your goal is to develop claims editing logic and content that promote payment accuracy...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (08/19/25)
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