- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Elevance Health (Atlanta, GA)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- CVS Health (Atlanta, GA)
- …Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -MedCompass, CEC, or ... Summary** **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- Elevance Health (Atlanta, GA)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Elevance Health (Columbus, GA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Business Analyst III** is a member of ... **Business Analyst III** **Location** : This role requires associates...savings. This position plays a critical role in uncovering claims overpayments and guiding clients through implementation of data-driven… more
- Molina Healthcare (GA)
- …provider-submitted claims issues. This role requires a keen understanding of medical claims processing, strong analytical skills, and the ability to ... **Job Description** **Job Summary** Provides entry level analyst support for claims research activities....of relevant education and experience + Basic knowledge of medical billing and basic claims processes. +… more
- Axis (Alpharetta, GA)
- …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...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… 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
- Zelis (Atlanta, GA)
- …to all key performance components to achieve goals and results for the Zelis Claims Cost Solutions department. The Client Inquiry Analyst will support the ... shape who you are. Position Overview The Client Inquiry Analyst is responsible for the resolution of inquiries for...subject matter expert (SME) as it pertains to correct coding/ claim adjudication guidelines and the Zelis editing product. The… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Quality Technology Services, LLC (Duluth, GA)
- **Summary** The **Category Sourcing Analyst ** is responsible for providing data analytics, system support, strategy development support to the Category Sourcing ... Management team. Category Sourcing Analyst will perform complex data analysis to identify Supplier...also eligible for a competitive benefits package that includes: medical , dental, vision, life, and disability insurance; 401(k) retirement… more
- Baylor Scott & White Health (Atlanta, GA)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- Quality Technology Services, LLC (Suwanee, GA)
- **Who You Are:** The Identity and Access Governance (IAG) Analyst is a practitioner role responsible for administering the QTS IAG program to ensure that access to ... organizational policies, regulatory requirements, and industry best practices. The IAG Analyst plays a critical part in safeguarding the organization's physical and… more
- GE Vernova (GA)
- …to be different we must be different. We have an immediate need for a Cost Analyst in our New Unit Projects division. The Cost analyst will be responsible for ... activities will part of the responsibilities of the cost analyst on multiple projects in parallel Come join our...operational rhythms for functional alignment. + Change Order & Claim Analysis: + Coordinate functional estimates for change order… more
- Quality Technology Services, LLC (Duluth, GA)
- …mission driven. Together, we do great things. **Who You Are:** The **Investments Analyst ** position is a part of QTS' Strategic Planning and Investments team which ... such as re-tenanting and asset repositioning **What You Will Do:** The **Investments Analyst ** will be responsible for helping the team create and support the… more
- Eliassen Group (Atlanta, GA)
- **Sr Guidewire Business Analyst ** **Anywhere** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Workplace Type:** Remote **Reference ... **Shortcut:** http://careers.eliassen.com/fMinuT + Description + Recommended Jobs **Description:** Business Analyst will support Guidewire integrations,conducting requirements gathering sessions, writing… more
- Quality Technology Services, LLC (Duluth, GA)
- …and mission driven. Together, we do great things. Who You Are: The ** Analyst , Asset Management** will be responsible for helping its team create and support ... financial forecasts for existing assets. The Analyst , Asset Management will play an integral role in...also eligible for a competitive benefits package that includes: medical , dental, vision, life, and disability insurance; 401(k) retirement… more
- Quality Technology Services, LLC (Duluth, GA)
- The Senior PLM Analyst will play a key role in both day-to-day operations and long-term strategic initiatives for Product Lifecycle Management (PLM). This position ... solutions by ensuring systems excellence and cross-functional collaboration. The analyst will be responsible for managing the integrity, accessibility, and… more
- Norstella (Atlanta, GA)
- Analyst II, RWD Delivery Support & Education Company: Norstella Location: Remote, United States Date Posted: Sep 22, 2025 Employment Type: Full Time Job ID: R-1510 ... UK, The Netherlands, Japan, China and India. **The Role: Analyst II, RWD Delivery Support & Education** The ...sciences companies. * Understanding of RWD, including lab, EMR, claims , and SDoH data assets * Ability to work… more
- Evolent (Atlanta, GA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Client Analytics The Client Analytics team provides a unique opportunity to ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS,… more