- RIT Solutions, Inc. (Atlanta, GA)
- Healthcare Data Analyst ( Claims , Pharmacy, SQL Data Visualization 100% remote Please ensure candidates meet the following criteria - 8-10 years of ... proven experience as a Senior Data Analyst in the healthcare ...the ability to write complex queries and perform advanced data transformations. -Exceptional knowledge of clients' claims ,… more
- Molina Healthcare (Atlanta, GA)
- …solution or configuration during warranty period. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of healthcare claims and claim processing from receipt through ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received… more
- Molina Healthcare (Atlanta, GA)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Carrington (Atlanta, GA)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... external investors providing opportunity for investor rebuttals. Accountable for analyzing multiple data elements in order to apply the proper decision rationale and… more
- Molina Healthcare (Atlanta, GA)
- …Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab ... analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst... Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Molina Healthcare (Atlanta, GA)
- …from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to ... evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical...building dashboards in Excel, Power BI, and/or Tableau and data management + Knowledge of healthcare operations… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. ... The analyst will support existing lines of business and expansion...to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and… more
- Lyric (Atlanta, GA)
- …other immigration support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products ... and business operations leaders to develop reporting and analyze large-scale healthcare claims and clinical datasets. By leveraging advanced coding,… more
- CVS Health (Atlanta, GA)
- …it all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy ... addressing inquiries, resolving issues, and providing accurate information regarding prescription claims data and accumulator overages. + Maintains electronic… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** **Be inspired** **.** **Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel your professional journey with better benefits, ... Tracker (CGT) Matrix files that contain the charge generating data for all active charges currently maintained in our...+ Works daily Charge Reconciliation, Charge Review and other DNB/ Claims work queues specifically assigned to resolve bill holds… more
- Aveanna Healthcare (Atlanta, GA)
- Sr. Paralegal Analyst (Employment Litigation) ApplyRefer a FriendBack Job Details Requisition #: 205891 Location: Atlanta, GA 30339 Category: Administrative/Clerical ... fact investigations, including review, analysis and organization of Company factual data /information. + Index and/or summarize documents as requested. + Assist in… more
- Molina Healthcare (Atlanta, GA)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience… more
- Molina Healthcare (Atlanta, GA)
- …with complex, often highly technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** ... DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers.… more
- Highmark Health (Atlanta, GA)
- …for PCPs, specialists, facilities, post-acute providers, and ancillary providers. + Interprets raw claims , provider, quality, and member data to build data ... technical workflows, develop and submit technical business requirements and validate data generated by recurring analytic engine processes. Performs data … more
- Elevance Health (Atlanta, GA)
- **Business Analyst II - Commercial Claims Data Mining** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon ... unless an accommodation is granted as required by law._ The **BUSINESS ANALYST II** is responsible for translating basic business needs into application software… more
- Elevance Health (Atlanta, GA)
- …analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data . + Intermediate to Advanced expertise with software ... of committed clinicians and business leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior** measures… more
- Norstella (Atlanta, GA)
- …We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this role, you will leverage your expertise in ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...healthcare data analytics to extract meaningful insights...with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data , in an… more
- Evolent (Atlanta, GA)
- …- Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data , membership data , or other healthcare data ... the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a...to tackle some of the most significant challenges in healthcare . By working closely with Data Science,… more
- Evolent (Atlanta, GA)
- …**What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Elevance Health (Atlanta, GA)
- **Business Analyst ll** Hybrid 1: This role requires associates to be in-office **in office once per week (** **Must be able to work until 4pm MST)** fostering ... an accommodation is granted as required by law._** The **BUSINESS ANALYST II** Identifies, analyzes, and validates overpayment recovery opportunities. Determines… more
