- Molina Healthcare (Atlanta, GA)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Brink's (Atlanta, GA)
- …equal opportunity to participate and grow. Job Description Job Summary: The Claims Analyst will investigate reconciliation discrepancies to reduce claim ... escalations, provide support to respond to branch cases and claims + "Boots on the ground" identify/ research /resolve...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- Axis (Alpharetta, GA)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...include support around several claim financial transactions, including payment research , reporting, expense allocations, and payment validations. + Fast… more
- Molina Healthcare (Atlanta, GA)
- …of audiences. We are seeking a detail-oriented, highly skilled senior data analyst with healthcare data background who feels comfortable in a fast-paced environment. ... in patient care. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data… more
- Cognizant (Atlanta, GA)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... systems and capabilities in order to participate in project activities and research requests on an ongoing basis; Assist in obtaining consensus by facilitating… more
- Molina Healthcare (Atlanta, GA)
- **Molina Healthcare is hiring a Sr Business Analyst , Appeals & Grievances** and experience in data reporting. **Highly Qualified Candidates Will Have The Following ... + Solid understanding of the full Appeals & Grievances process + Experience working with claims and claims processing + High level of knowledge working with the… more
- Elevance Health (Atlanta, GA)
- …recoveries/government business + Datamining using CPT/HCPCS coding + Internal/external policies + Claims system research + Root cause analysis + Government ... **Financial Operations Analyst Lead** **Location:** This position will work a...regulations research , etc., for identification of overpaid claims . + Proficiency in Excel + Medicare/Medicaid claims… more
- Elevance Health (Atlanta, GA)
- …recoveries/government business + Datamining using CPT/HCPCS coding + Internal/external policies + Claims system research + Root cause analysis + Government ... **Business Analyst II** **Location:** This position will work a...regulations research , etc., for identification of overpaid claims + Proficiency in Excel + Medicare/Medicaid claims… more
- Evolent (Atlanta, GA)
- …models and approaches aimed at quantifying and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy ... contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- Elevance Health (Atlanta, GA)
- **Grievance/Appeals Analyst Lead** **Candidates must be located within 50 miles an Elevance Health PulsePoint office. This position is primarily work from home but ... work in the office quarterly.** **Schedule: Monday-Friday 8am-5pm EST** The **Grievance/Appeals Analyst Lead** is responsible for leading and coaching a team of… more