• Senior Guidewire Business Analyst

    CGI Technologies and Solutions, Inc. (Atlanta, GA)
    ** Senior Guidewire Business Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Alabama, Birmingham ... Full Time **Position Description:** We are seeking a seasoned Guidewire Business Analyst to support ongoing enhancements and steady-state operations for a regional… more
    CGI Technologies and Solutions, Inc. (08/23/25)
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  • Senior Internal Business Systems…

    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
    Highmark Health (07/11/25)
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  • Senior Analyst - Informatics, Fully…

    CVS Health (Atlanta, GA)
    …be willing to work EST time zone hours.** **Position Summary** We are hiring a Senior Analyst to support the Complaint, Grievances and Appeals (CG&A) team. This ... and have experience troubleshooting data cleaning workflows. + Experience working in claims or appeals analytics. + Ability to communicate and translate technical… more
    CVS Health (08/31/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Augusta, GA)
    **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst , Special…

    CVS Health (Atlanta, GA)
    …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more
    CVS Health (08/24/25)
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  • Senior Clinical & Population Health…

    Highmark Health (Atlanta, GA)
    …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
    Highmark Health (07/22/25)
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  • Technology Analyst , HR & Compliance

    Carter's/OshKosh (Atlanta, GA)
    …do. There are many reasons to build your career at Carter's. The Technology Analyst , HR & Compliance plays a key role in optimizing Carter's workforce operations by ... and compliant employee data within Workday, and overseeing the unemployment claims process in coordination with a third-party administrator. This position supports… more
    Carter's/OshKosh (08/30/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Atlanta, GA)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
    Humana (08/14/25)
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  • Risk Adjustment Audit Operations Analyst…

    Molina Healthcare (Augusta, GA)
    **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
    Molina Healthcare (08/08/25)
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  • Data Analyst Manager

    Sedgwick (Atlanta, GA)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... data reports and provides analysis for forecasting and/or benchmarking used by senior management. + Reports directly to senior management and communicates… more
    Sedgwick (08/27/25)
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