- AIG (Atlanta, GA)
- …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. It's an ... fair and professional service with empathy and efficiency. About the role: The Senior Claims Business Analyst partners with NAM Claims , NAM Claims … more
- 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
- 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
- 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** **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 responsible for...performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data,… 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
- Elevance Health (Atlanta, GA)
- …lens, to deliver member-centered, lasting pharmacy care._ **Title** : **Performance Quality Analyst I** **Hybrid** : This role requires associates to be in-office 1 ... may be considered. **Shift: Monday- Friday 8:00-5:00PM** The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating… 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
- 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
- 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
- Baylor Scott & White Health (Atlanta, GA)
- …flows, etc.) + Ability to execute testing to ensure the accurate configuration of business requirement + Analyze larger sets claims data to evaluate patterns of ... strongly preferred (new products, authorization requirements, commercial/government/ASO lines of business ). + Experience with HealthEdge HealthRules Payer claims … more
- Bank of America (Kennesaw, GA)
- Device and Non Monetary Fraud Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; Charlotte, North Carolina; ... credit cards. Key responsibilities include applying knowledge of multiple business and technical-related topics, independently driving strategic improvements, large-scale… more
- 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 ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid business… more