- Molina Healthcare (Macon, GA)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Analyst...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... unless an accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing analytical support… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Bachelor's Degree and three (3) years' of healthcare experience in Managed Care Contracting, Hospital Reimbursement, Professional Reimbursement, Denials, and/or ... and Experience considered. 3. Ten (10) years' of experience in Managed Care Contracting, Hospital Reimbursement, Professional Reimbursement, Denials, and/or… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst ** **Location** :...develop contracting strategy and supports all aspects of the contract negotiation process. + Can work with multiple provider… more
- Capgemini (Atlanta, GA)
- Product Analyst Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you'd like, where you'll be supported and ... more inclusive world. **Job Description** As a GenAI Product Analyst you will have the opportunity to make a...or led sprint planning developed epics user stories and managed product backlog + You are collaborative and have… more
- Molina Healthcare (Savannah, GA)
- …scrubbing, scrapping, and cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...standards. *Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. *Recommends, schedules… more
- Evolent (Atlanta, GA)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Highmark Health (Atlanta, GA)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance… more
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