- Cognizant (Atlanta, GA)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- AIG (Atlanta, GA)
- …office only. It is 4 days in office and one day from home. About the role: The Claims Business Analyst partners with North America Claims , North America ... business problems. It is critical for the Business Analyst to understand the challenges stakeholders...* Establish strong and collaborative relationships with North America Claims and functional support teams. * Engage with key… 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 ... full Appeals & Grievances process + Experience working with claims and claims processing + High level...Payment Integrity, Excel, Power User, Power BI, Enrollment, Enrollment Analyst , Analyst , Business Analyst… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Atlanta, GA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- CVS Health (Atlanta, GA)
- …with heart, each and every day. **Position Summary/Mission:** Account management and business retention for Aetna International products and services in support of ... management, development of strong relationships for existing customers in assigned business segments, products and geographies. The individual will be assigned a… more
- CVS Health (Atlanta, GA)
- …and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business . This position will provide analytical and reporting support for certain ... financial components impacting the net cost of pharmacy claims . The colleague will: + Apply quantitative skills and...quantitative skills and analytical methods to support Part D business needs. + Foster strong technical skills by manipulating… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more