- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Business Analyst to play your part in that transformation. ... responsive, fair and professional service with empathy and efficiency. About the role: The Senior Claims Business Analyst partners with NAM Claims ,… 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
- 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 ... generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered… more
- Elevance Health (Atlanta, GA)
- ** Business Information Analyst Senior ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... MN, Atlanta, GA, Indianapolis, IN, or Chicago, IL. The ** Business Information Analyst Senior ** is...performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data,… 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
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial ... other than those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes...business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an… more
- PNC (Atlanta, GA)
- …and 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 ... environment; and also supports remote and hybrid work environments As a Loan Support Analyst Senior in PNC Midland's Insurance department you will be responsible… more
- Elevance Health (Atlanta, GA)
- **Provider Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... locations may be considered. The **Provider Cost of Care Analyst Senior ** is responsible for providing analytical...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Team** The Data & Technology Delivery Team serves as a key partner between the business and technical teams to ensure the all intake and delivery of future and ... not limited to: **Responsibilities** + Work cross-functionally with Product Owners ( Business Owners), Delivery Lead (Product Development), Business Operations,… more
- Molina Healthcare (Savannah, GA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...for the assigned state + Works in an agile business environment to derive meaningful information out of complex… 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:** ... * Working on a strategic analytics team using data to identify and deliver business insights to clients * Serving as a strategic advisor to internal and external… more
- Brown-Forman (Atlanta, GA)
- …insurance claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. + ... Education: Bachelor's degree in a related field (Finance, Risk Management, Business Administration) or equivalent experience. + Experience: Five years of progressive… more
- Highmark Health (Atlanta, GA)
- …required to travel to the Pittsburgh office periodically for scheduled business meetings.** This job creates data-driven insights which identify actionable ... in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL… more
- CVS Health (Atlanta, GA)
- …In this high-level individual contributor role, you will utilize your business , industry, competitive, client, and technical knowledge to formulate pricing strategy ... to achieve revenue and profitability targets for net new business growth and margin retention + Applying advanced Excel...Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and… more
- Deloitte (Atlanta, GA)
- …hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ... generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered… more
- Evolent (Atlanta, GA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving… 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 ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Humana (Atlanta, GA)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Bank of America (Kennesaw, GA)
- …and deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst - This job is responsible for performing complex analyses of ... Device and Non Monetary Fraud Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; Charlotte, North Carolina;… more