- 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
- 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 (Atlanta, GA)
- …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Analyst - Remote **Job Description** The Specialty & Home Delivery Program ... Analyst is responsible for serving as a subject matter...and Pharmacy Match product which may include implementations, projects, claims & performance guarantee monitoring, and testing. This position… 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
- Molina Healthcare (Atlanta, 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 (Atlanta, 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 (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
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… 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
- 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 (Atlanta, GA)
- **Financial Operations Analyst Lead** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates must live within 50 miles of one ... providing new processes, system enhancements and technical solutions to complex business issues. Leads and coaches staff. Manages workflow and oversees day-to-day… more
- 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
- 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
- Elevance Health (Atlanta, GA)
- **Electronic Data Interchange (EDI) Systems Analyst I** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Ideal candidates will be… more
- 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
- 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
- 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 (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
- 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
- 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