- 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
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current… more
- Molina Healthcare (Macon, GA)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (GA)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...of new and existing health plans. + GA Medicaid claims / reimbursement/ coding experience is highly preferred **JOB QUALIFICATIONS**… more
- AIG (Atlanta, GA)
- 202 6 - Early Career - Gen AI Technology - Software Engineering Analyst - United States, Atlanta (GA ) AIG is r eimagining the way we help customers manage risk. ... us as a Gen AI Technology - Software Engineering Analyst to play your part in that transformation with...of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues… more
- Lumen (Atlanta, GA)
- …connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. Together, we are building ... connect the world and shape the future. **The Role** We are seeking a Senior Lead Portfolio Marketing Manager to drive the creation and delivery of unique market… more
- Prime Therapeutics (Atlanta, GA)
- …manage multiple projects simultaneously **Preferred Qualifications** + Experience with large sets of claims data + In-depth knowledge of PBM industry + Financial ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Strategy Consultant - Remote **Job Description** The Senior Strategy Consultant… more
- Highmark Health (Atlanta, GA)
- …**Substitutions** + 6 years of Dental Solutions Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing, etc.) experience may ... DB2, Cogno, PEGA, Enterprise Architect(SCEA), Project Management, Certified Quality Analyst (CQA), Scrum Master Certification, Lean/Six Sigma Certification **SKILLS**… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …requests for integration with the EMR and/or other applications. + Serve as most senior level Analyst supporting clinical &/or revenue cycle teams and assist ... in includes Resolute Hospital and Professional Billing including SBO, as well as Claims and Remittance. This IT technologist role contributes as the highest level… more