- Elevance Health (Columbus, GA)
- ** Medicare Risk Adjustment Advanced Analytics Analyst ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst ** is...Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives. + Performs data… more
- Elevance Health (Atlanta, GA)
- …is granted as required by law. The **Provider Network Analyst Lead ** reviews and strategizes between data , creates models, and reporting spreadsheets ... **Provider Network Analyst Lead ** **Location:** This role requires...development, client services, and actuarial services. + Manages large data sets, including claims and UM data … more
- Molina Healthcare (Atlanta, GA)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more
- Elevance Health (Atlanta, GA)
- **Business Information Consultant - Pharmacy Analyst , Trend and Cost of Care** **Location:** This role requires associates to be in-office **1** day per week, ... Hours:** Monday - Friday, 8:00am - 5:00pm The **Business Information Consultant - Pharmacy Analyst , Trend and Cost of Care** is responsible for serving as an expert… more
- Prime Therapeutics (Atlanta, GA)
- …+ Own, build, support, and maintain financial and complex actuarial models + Lead , perform, and review data analyses, reporting, and projections + ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ...Lead , perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer… more
- Molina Healthcare (Augusta, GA)
- …to management + Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Waystar (Atlanta, GA)
- …(enhancements and areas for improvement) to assist in driving product strategy + Lead and/or participate in status calls at a defined cadence (weekly to monthly) ... align results + Consistently identify opportunities to improve processes and conduct data analysis to identify root cause + Provide ongoing training and development… more
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