- Axis (Alpharetta, GA)
- …part in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ... improvement of Claims support activities performed within our North America Claims Operations team. These functions include outsourced responsibilities to an… more
- Molina Healthcare (Atlanta, GA)
- …to a broad range of audiences. We are seeking a detail-oriented, highly skilled senior data analyst with healthcare data background who feels comfortable in a ... make differences in patient care. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr . Analyst , Data is responsible for data compilation, data… more
- Deloitte (Atlanta, GA)
- …technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ... test changes, enhancements, and each new release as assigned. The Team Operations and Technology Transformation delivers market leading expertise and industry depth… 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...Power User, Power BI, Enrollment, Enrollment Analyst , Analyst , Business Analyst , BA, Sr … 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, ... operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare data, including UM and… more
- Evolent (Atlanta, GA)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… 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 ... operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM,… more
- Evolent (Atlanta, GA)
- …the mission. Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and ... as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care, and identify… more
- Evolent (Atlanta, GA)
- …fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications Required and ... degree, preferably with a quantitative major (eg actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration,… 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 ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- AIG (Atlanta, GA)
- Join us as a Claims Adjuster to grow your experience in handling complex claims . Make your mark in Claims Our Claims teams are the proven problem solvers ... showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Management Analyst , Technical Third Party Oversight to play your part in that ... the team. Make your mark in Technical Third-Party Oversight Claims Our industry leading Claims teams are...service. These positions provide the opportunity to engage/work with senior claim and underwriting management, and for growth in… more
- Evolent (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- Highmark Health (Atlanta, GA)
- …network structures (eg non standard tiering) and pricing methods in a senior operational role. Translates complex group and client information into system ... and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal… more
- Prime Therapeutics (Atlanta, GA)
- …appropriate + Identify accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections activities ... decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst...PBM experience to include:##1 year of work experience in claims processing in an operations , audit or… more
- Humana (Atlanta, GA)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more
- AIG (Atlanta, GA)
- Senior Claims Analyst Severity At AIG, we are reimagining the way we help customers to manage risk. Join us as a Global Accident & Health Analyst to play ... product development analytics and performance measurement. They collaborate with Marketing, Operations and Financial Management. How you will create an impact +… more
- AIG (Atlanta, GA)
- …claims is a plus. + Ability to influence and collaborate effectively with senior managers across claims . + Excellent written communication skills with ability ... working in close collaboration with the Technical Business lines, Operations and Claim Legal. + Align and strengthen controls...Claim Legal. + Align and strengthen controls for AIG Claims to ensure consistency and effective best practices. +… more