- The Hartford (Alpharetta, GA)
- …talents new purpose by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate ... Sr Ability Analyst - C409ANAbility Specialist...determinations using vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of… more
- Molina Healthcare (Savannah, GA)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- AutoZone, Inc. (Atlanta, GA)
- **Job Description** As a ** Sr . Audit Recovery Auditor** , you will Utilize analytical and forensic email review skills to audit Merchandising negotiations to recover ... Above funding/negotiations). 3rd Party vendors to recover less than 10% behind Senior Auditor. Negotiate and communicate flawlessly with Merchandising and Vendors to… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- ** Senior Guidewire Business Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Alabama, Birmingham ... Type:** Full Time **Position Description:** We are seeking a seasoned Guidewire Business Analyst to support ongoing enhancements and steady-state operations for… more
- Highmark Health (Atlanta, GA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Elevance Health (Atlanta, GA)
- …a detailed story to respective business stakeholders. The Advanced Analytics Analyst Senior creates statistical models to predict, classify, quantify, and/or ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr . Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... translating healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain… more
- Prime Therapeutics (Atlanta, GA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Evolent (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more