- CVS Health (Atlanta, GA)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Analyst , Account Management will serve as a fully dedicated advocate to ... senior employees and their families employed by a leading...Liaising with healthcare providers. + Submitting and tracking out-of-network claims . + Managing administrative processes such as pre-authorizations and… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... and manages information from large data sources. * Analyzes claims and other data sources to identify early signs...tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to… more
- Rocket Software (Atlanta, GA)
- …where people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both ... and country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas'… more
- AIG (Atlanta, GA)
- Senior Claims Analyst ,...our insureds + Formulate and execute strategies for favorable claim resolution; negotiate with insureds and third parties. + ... are reimagining the way we help customers to manage risk. Join us as a Senior Claims Analyst to play your part in that transformation. It's an opportunity to… more
- Elevance Health (Atlanta, GA)
- …for current or future visa sponsorship._ The ** Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior ) creates statistical models to ... ** Senior Healthcare Economics Analyst ** **Location:** This...metrics. Measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... required by law. The **Provider Contract Cost of Care Analyst Senior ** provides analytical support to the...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Cognizant (Atlanta, GA)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
- Molina Healthcare (Savannah, GA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- CVS Health (Atlanta, GA)
- …our large group commercial rating engine (ERNIE) . As a Sr. Actuarial Analyst the ideal candidate will project manage and support system enhancements from beginning ... pricing practices across national commercial large group business + Assessing claim impact of benefit relativity changes Technical Responsibilities Include: +… more