- Molina Healthcare (GA)
- …QNXT and/or NetworX Pricer configuration modules (Benefits, Provider Contracts, Pricing , Claims Adjudication). **Preferred Education** + Graduate Degree or ... equivalent experience **Preferred Experience** + Strong business writing skills proficient user of Microsoft Products including Word, Excel, Outlooks, Teams, SharePoint, PowerPoint, and Visio + Advanced knowledge of Excel + SQL knowledge + Coding certification… more
- Molina Healthcare (Macon, GA)
- …in DOFR (division of financial responsibility) or CA DOFR, DME, capitation, Physician pricing is highly preferred. + Must have knowledge on Medicare payment methods ... + Experience on Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is required + Medicaid and Duals experience is highly preferred **JOB… more
- Molina Healthcare (Columbus, GA)
- …+ Generate and distribute routine reports to support risk adjustment calculations, pricing , and financial reporting + Identify opportunities for improvement in risk ... adjustment programs and develop advocacy accordingly **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Mathematics, Statistics, or Economics **Required Experience** 1-2 Years **Required License, Certification, Association** Must have passed at… more
- CVS Health (Atlanta, GA)
- …practices as well as product designs that meet customer needs and pricing that produces returns to shareholders commensurate with the risks undertaken. Actuarial ... is responsible for anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues. **A Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid** plans. + Performs… more
- Molina Healthcare (Macon, GA)
- …+ Analysis of trends in medical costs to provide analytic support for finance, pricing , and actuarial functions + Multiple data systems and models + BI tools (Power ... BI) **Preferred License, Certification, Association** QNXT or similar healthcare payer applications To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a… more
- White Cap (GA)
- …Ability to interpret large datasets and translate them into actionable sales and pricing strategies, as well as ROI analysis. + Experience with the sales ... organization of a manufacturing company - Desired + Familiarity with CRM systems and sales enablement tools. This position may be remote, or hybrid based on location. Eligible candidates residing in the greater Atlanta area will be asked to work two days a… more
- HUB International (Acworth, GA)
- …will continue to be maintained by the CCO or at a national level. All pricing or service negotiations should be brought to the attention of the CCO. Department ... Account Management & Service Required Experience: 5-7 years of relevant experience Required Travel: Negligible Required Education: Bachelor's degree (4-year degree) HUB International Limited is an equal opportunity employer that does not discriminate on the… more
- Molina Healthcare (Savannah, GA)
- …+ Generate and distribute routine reports to support risk adjustment calculations, pricing , and financial reporting. + Extract and compile information from various ... systems to support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of forecasts/bids/filings related to risk adjustment. **JOB QUALIFICATIONS**… more
- Capgemini (Atlanta, GA)
- …Manager & DA. Identifies cost behaviors of cost lines and relationship to client unit pricing Works with other members of the team to align on common assumptions and ... including assumptions and exclusions and the validity period of pricing - works directly with subcontractor Solutions to the...analyzing the client buying patterns, price points and third-party analyst views on the portfolio. Good grasp on similar… more
- Capgemini (Atlanta, GA)
- …design, and configuration of SAP SD solutions across order management, pricing , delivery, billing, and credit management. Extensive knowledge of SAP solutions ... Deep knowledge of SAP S/4HANA SAP SD/OTC modules (Deep knowledge of pricing , availability checks, sales orders, delivery processing, billing, and customer master… more