- Norstella (Atlanta, GA)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... of provider reimbursement changes * Provides data driven analytics to finance, claims , medical management, network, and other departments to enable critical… more
- Highmark Health (Atlanta, GA)
- …:** **JOB SUMMARY** This pivotal role drives the full lifecycle of medical policies, from initial development and evidence-based criteria writing to publication, ... analysis. The incumbent will act as a primary owner of assigned medical policies, ensuring their accuracy, clinical soundness, and operational feasibility. A core… more
- Highmark Health (Atlanta, GA)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Osmose Utilities Services (Atlanta, GA)
- Summary of position: The Claims Analyst will play a key... claims . + Assess the classification of each claim (first aid, medical only, lost time, ... workers' compensation program by managing, tracking, and analyzing employee injury claims . This position will ensure timely reporting, investigation, and resolution… more
- Molina Healthcare (Macon, GA)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION Job Summary Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Highmark Health (Atlanta, GA)
- …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim… more
- Public Consulting Group (Atlanta, GA)
- … claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... and denied claim research results, final remittance advice processing, and medical record reviews that will include discussion with internal management to ensure… more
- Cognizant (Atlanta, GA)
- **Job Title: Sr. QNXT Configuration Analyst ** **Location:** **Remote** **Job ID:** **00067091141** **About the role** As a **Sr. QNXT Configuration Analyst ** , ... make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a valued member… more
- Fortrex (Atlanta, GA)
- **WHO YOU ARE:** We are seeking a detailed oriented Risk Management Analyst to join our team and play a crucial role in supporting insurance renewals, managing ... auto-liability and general liability claims , and overseeing certificates of insurance. In this role,...we serve. **WHAT YOU WILL DO:** The Risk Management Analyst will analyze, assess, and monitor risks related to… more