- 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 ... service with empathy and efficiency. How you will create an impact The Claims Business Analyst partners with North America Claims , North America… more
- Cognizant (Atlanta, GA)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with business … 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
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements ... are appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or… 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 ... and deploy innovative and technology enabled solutions focused on "heart of the business " issues in specific sectors including Health Care & Life Sciences, Digital… more
- Elevance Health (Atlanta, GA)
- ** Business Analyst II MBHP EDI Encounters** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... GA, Durham, NC, Richmond, VA or Latham, NY. The ** Business Analyst II MBHP EDI** **Encounters** is...Capabilities and Experiences:** + Knowledge of systems capabilities and business operations highly preferred. + Strong claims … more
- Prime Therapeutics (Atlanta, GA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT ... Business Systems Analyst is responsible for solving...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… 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)
- …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...impact:** + Translates the most highly complex and varied business needs into application software functionality. + These needs… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- Elevance Health (Atlanta, GA)
- …and summarizes performance using summary statistical procedures + Develops and analyzes business performance reports (eg for claims data, provider data, ... reporting and developing recommendations on data related to complex and varied business metrics across our Medicaid markets with a focus on risk adjustment… more
- Highmark Health (Atlanta, GA)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider 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:** ... 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:**… more
- Elevance Health (Atlanta, GA)
- **Grievance/Appeals Analyst Lead** **Candidates must be located within 50 miles an Elevance Health PulsePoint office. This position is primarily work from home but ... work in the office quarterly.** **Schedule: Monday-Friday 8am-5pm EST** The **Grievance/Appeals Analyst Lead** is responsible for leading and coaching a team of… more
- Molina Healthcare (Atlanta, 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
- 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
- Kelly Services (Alpharetta, GA)
- …Great opportunities are right here in your backyard. Kelly(R) is looking for a Warehouse Analyst to work at Honda in Alpharetta, Georgia. Let us help you grow at ... $23.50/hr **Why you should apply to be a Warehouse Analyst :** + Competitive pay rate offering stability and growth....within a two-day window. + Processing and tracking insurance claims for any damaged or lost products. **This job… more
- Molina Healthcare (Atlanta, GA)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more