- 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
- 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
- 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
- Axis (Alpharetta, GA)
- …request for candidates taking part in the selection process. **Product Analyst Job Description** **Job Family Grouping: Operations** **Job Family: Product ... functional areas across AXIS, including underwriting, legal and compliance, actuarial and claims . The incumbent will assist business units in ongoing efforts to… more
- Molina Healthcare (Macon, GA)
- …around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research , analysis and modeling of complex healthcare claims data, ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...provides insights needed to support strategic investment decisions + Research and develop reports and analyses for senior management… more
- Evolent (Atlanta, GA)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... 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
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more
- HUB International (Atlanta, GA)
- …employers, TPAs, and brokers. We are seeking a proactive and detail-oriented Program Analyst to join our team and support us in leveraging market intelligence, ... solutions, and managing insurance programs effectively. **Position Overview:** As a Program Analyst , you will be a key resource in providing our producer team… more
- Highmark Health (Atlanta, GA)
- …+ Intake operational objectives and gather information. May perform routine research and evaluate basic output requirements and formats. Communicate business ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Humana (Atlanta, GA)
- …and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those ... directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial, economic, and other data to provide… more
- BrightSpring Health Services (Valdosta, GA)
- …proper coding and comments for all outstanding balances.* Provide any additional research for accounts designated on the critical accounts list, code and comment ... prior to monthly Critical Account call.* Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging with payment date. Field questions… more
- Zelis (GA)
- …prioritize projects and assignments. + Attend Client facing and Internal Claims Editing Implementation meetings, summarize takeaways and follow-up as needed with ... Steering Committee meetings. + Performs touch-point meetings with the Analyst for status on Projects + As the subject...and motivation skills, a self-starter with an ability to research and resolve issues + Excellent skills in critical… more
- Molina Healthcare (Macon, GA)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- Highmark Health (Atlanta, GA)
- …subject matter expert in strategy development for new strategic programs. + Research and analyze claims processing problems, perform initial problem ... and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal… more
- Molina Healthcare (Macon, GA)
- …ability to work independently, self-navigate organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, ... for Patient Liability and Medicaid processes. **KEY RESPONSIBILITIES** + Perform research and analysis for inquiries and requests, utilizing technical tools as… more
- Evolent (Atlanta, GA)
- …fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications Required and ... preferably with a quantitative major (eg actuarial, statistics, operations research , mathematics, economics) or healthcare focus (health administration, epidemiology,… more
- Molina Healthcare (Savannah, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …for the organization regarding coding and billing compliance, including conducting research as needed to help the organization achieve compliance. **Principal duties ... Word, Access, Excel, PowerPoint; as well as Epic EMR. + Working knowledge of claims data and analysis, with experience working in the MD Audit tool preferred. +… more