- Axis (Alpharetta, GA)
- …is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **Job Family Grouping: IT Group** **Job ... **How does this role contribute to our collective success?** We are seeking a Claims Business Analyst to join our Business Technology Services (BTS)… more
- Cognizant (Atlanta, GA)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with business … more
- Centene Corporation (Atlanta, GA)
- …flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business ... processes + Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations + Identify ways to enhance… 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 ... . This role will be responsible for ensuring that business operating procedures are followed and work with branch...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… 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
- 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 ...expectations on Service Levels and Quality of work. + Business and IT project work opportunities as initiatives and… more
- Elevance Health (Atlanta, GA)
- **Performance Quality Analyst III ( Claims ** ) **Location** : This role requires associates to be in-office 1 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The **Performance Quality Analyst III ( Claims ** ) is responsible for driving service quality… more
- Molina Healthcare (Atlanta, GA)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … more
- Deloitte (Atlanta, GA)
- …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 ideas and ... generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered… 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
- 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,...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Elevance Health (Atlanta, GA)
- ** Business Information Analyst Senior - Provider Economics** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... St. Louis, MO, Louisville, KY or Durham, NC. The ** Business Information Analyst Senior** is responsible for...summarizes using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data,… more
- Cognizant (Atlanta, GA)
- …is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique ... world. Together, we're improving everyday life. **Job Title** **: System Analyst ** **Location** **:** **Remote** **Job ID** **: SO# 00064395692** **Job Description… 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
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Zurich NA (Atlanta, GA)
- …brokers, and internal business partners with consultation, strategic needs, and business performance of claims and exposure data + Responsible for the ... Customer Information Services Analyst II 123803 Zurich North America is currently...to address customer needs and identify trends and assess business impact + Serve as a liaison between the… more
- Evolent (Atlanta, GA)
- …a Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) -… more
- Evolent (Atlanta, GA)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
- Elevance Health (Atlanta, GA)
- …a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The **Test Analyst ( Business Analyst III)** will be responsible for serving ... **Test Analyst - Pharmacy Benefit Management (PBM)** **Location:** This...as the liaison between the business and IT in translating complex business … more