- Axis (Alpharetta, GA)
- …Accommodation is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **How does this role contribute to ... our collective success?** We are seeking a Claims Business Analyst to join our Business Technology Services (BTS) division, focusing on supporting … more
- AIG (Atlanta, GA)
- …with Law Firms accurate and current; + Work with claims handlers to understand the claims business area, and the cost drivers that result in AIG's claims ... customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your...analysis, data queries, and reporting, which support line of business Law Firm strategies or complex / high value… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst IV - General Aviation to play your part in that transformation. It's ... across the general aviation and airport books of business and will possess the technical expertise to adjust...possess the technical expertise to adjust aircraft physical damage claims . The Claims Analyst IV… more
- Highmark Health (Atlanta, GA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Fidelity Claims Analyst to play your part in that transformation. You'll work with some of ... exposures and concerning potential product changes and enhancements. + Advise claims and business leaders on emerging risks. What you'll need to succeed +… more
- AIG (Atlanta, GA)
- Join us as a Property Claims Analyst to take on key responsibilities within a world-class claims function. This is a claims examiner role on the ... + Significant work experience in claims preferably handling first party claims . + Experience in General Commercial Property, Business Interruption, Real… more
- Molina Healthcare (Atlanta, GA)
- …network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements + Proficient in claims software and audit ... accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure… more
- Cognizant (Atlanta, GA)
- About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality Engineering team and… more
- Prime Therapeutics (Atlanta, GA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are...define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business… more
- Newell Brands (Sandy Springs, GA)
- …environment where you can be your best, every day. The **Front-End Innovation (FEI)** Business Model Analyst **Manager / Sr. Manager** will play a key role ... proposition, from inception of the core idea (including benefits, claims , branding) to the business model recommendation....on the core job to be done. The FEI Business Model Analyst (Manager / Sr. Manager)… more
- Highmark Health (Atlanta, GA)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses,...based role - looking for someone who has some claims experience and looking to become familiar with risk… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...and continuing education requirement. + Communicate with all internal business partners including underwriters to make sure underwriting is… 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
- Intermountain Health (Atlanta, GA)
- …sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems ... and trading partner exchanges. **Essential Functions** + Participates in Business Process Management (BPM) including modeling processes using various notations… more
- Baylor Scott & White Health (Atlanta, GA)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- Elevance Health (Atlanta, GA)
- …authorization, and membership data to tell a detailed story to respective business stakeholders. The Advanced Analytics Analyst Senior creates statistical models ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA;...seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The… more
- Molina Healthcare (Atlanta, GA)
- …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more