• Claims Business Analyst

    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
    Cognizant (03/25/25)
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  • Claims Business Analyst

    AIG (Atlanta, GA)
    At AIG, we are reimagining the way we help customers to manage risk. Join us as Claims Business Analyst to play your part in that transformation. It's an ... and efficiency. How you will create an impact The Claims Business Analyst partners with...to lead and motivate other in a virtual and remote team management environment. + Proficient in Microsoft Office… more
    AIG (05/08/25)
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  • IT Business Systems Analyst

    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
    Prime Therapeutics (04/29/25)
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  • Sr Analyst , Medical Economics (Clinical…

    Molina Healthcare (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 (04/12/25)
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  • Sr Analyst , Healthcare Analytics - Risk…

    Molina Healthcare (Macon, GA)
    **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
    Molina Healthcare (05/03/25)
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  • Sr Analyst , Medical Economics (Medicaid)…

    Molina Healthcare (Macon, 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 (04/16/25)
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  • Sr Analyst , Config Info Mgmt…

    Molina Healthcare (Macon, 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
    Molina Healthcare (04/25/25)
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  • Rating/ Claims System Advisor

    Elevance Health (Atlanta, GA)
    …Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and ... **Rating/ Claims System Advisor** **Location:** This role requires associates...approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate… more
    Elevance Health (05/02/25)
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  • Long Term Disability Senior Ability Analyst

    The Hartford (Alpharetta, GA)
    …by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused ... Sr Ability Analyst - C409AN We're determined to make a...Work Arrangement: This role can have a Hybrid or Remote work arrangement. Candidates who live near one of… more
    The Hartford (04/23/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Atlanta, GA)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
    Humana (05/10/25)
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  • Claims Editing Optimization Project Manager

    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...be available to travel 5-10% as required to meet business needs. What you'll bring to Zelis: + Holds… more
    Zelis (04/02/25)
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  • Fraud Data and Analytics Analyst

    Regions Bank (Atlanta, GA)
    …of the system. **Job Description:** At Regions, the Data and Analytics Analyst transforms data into a meaningful format for operational and/or decision-making ... information + Completes day-to-day deliverables and ad-hoc data reports to support business needs/projects and answer data related questions + Ensures compliance by… more
    Regions Bank (05/08/25)
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  • Senior Financial Reporting Analyst

    Humana (Atlanta, GA)
    …within all business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an impact** **Required Qualifications** + ... and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those… more
    Humana (04/29/25)
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  • Actuarial Analyst II

    Elevance Health (Atlanta, GA)
    **Actuarial Analyst II** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... Alternate locations may be considered. This position will work in a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of… more
    Elevance Health (05/08/25)
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  • Loan Support Analyst Senior - Insurance…

    PNC (Atlanta, GA)
    …have an opportunity to contribute to the company's success. As a Loan Support Analyst Senior within PNC's Midland organization, you will be based in office within ... a best in class office environment; and also supports remote and hybrid work environments As a Loan Support... and hybrid work environments As a Loan Support Analyst Senior in PNC Midland's Insurance department you will… more
    PNC (05/05/25)
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  • Actuarial Analyst II

    Elevance Health (Atlanta, GA)
    **Actuarial Analyst II** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The **Actuarial Analyst II** will be responsible for completing projects and performing complex actuarial studies. **How you… more
    Elevance Health (04/26/25)
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  • Healthcare Facets Product Owner - Remote

    Cognizant (Atlanta, GA)
    …+ **Min 10** **yrs of exp as a Product Owner** , Product Manager, Business Systems Analyst and with a strong background in application development and ... is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique… more
    Cognizant (05/03/25)
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  • Manager, Medical Economics (Medicare)…

    Molina Healthcare (Atlanta, GA)
    …meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching, ... and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory reporting requirements and Health Plan… more
    Molina Healthcare (05/02/25)
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  • Senior Associate Business Intelligence

    NTT America, Inc. (Atlanta, GA)
    …you can grow, belong and thrive. **Your day at NTT DATA** The Production Control Analyst will contribute to the support of the NJ MMIS Project and upcoming new ... actions following documented procedures. + Work closely with Programmers and Business Analysts to solve issues, complete projects, and deploy new functionality.… more
    NTT America, Inc. (04/25/25)
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  • Assistant General Counsel, Employment

    Lumen (Atlanta, GA)
    **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. ... team of lawyers providing advice and counsel to human resources and business leaders related to employees, employment policies, and compliance with local, state… more
    Lumen (05/03/25)
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