- Molina Healthcare (GA)
- … Research Analyst provides senior -level support for claims processing and claims research. The Sr . Analyst , Claims Research serves as a ... and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr . Analyst... claims processing error + Act as a senior claims subject matter expert, advising on… more
- Norstella (Atlanta, GA)
- Sr . Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... (MD/DO) degree. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry… more
- Evolent (Atlanta, GA)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... public health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor, managed care, or… more
- Cardinal Health (Atlanta, GA)
- …and harmonize data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare , claims feeds, internal CRM/ERP) to deliver clear, actionable ... tech, specialty pharmacy, or payer/provider a plus). + Proficiency with claims analytics and provider/facility data (Trella, Definitive Healthcare ;… more
- Molina Healthcare (Savannah, GA)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing &...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- Molina Healthcare (Augusta, GA)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing &...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- Molina Healthcare (GA)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr . Analyst , Data is responsible for data compilation, data ... Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required… more
- Molina Healthcare (Atlanta, GA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- Molina Healthcare (Macon, GA)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...+ 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more