- The Hartford (Alpharetta, GA)
- …Long Term Disability benefit determinations using vocational, medical , and financial claim management. The Senior Ability Analyst supports our mission of ... to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely,...environment that is inclusive to all employees Qualifications: + 2 + years of claim experience preferred +… more
- Elevance Health (Atlanta, GA)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while… more
- Baylor Scott & White Health (Atlanta, GA)
- …of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- Elevance Health (Atlanta, GA)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Evolent (Atlanta, GA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Client Analytics The Client Analytics team provides a unique opportunity to ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS,… more
- CVS Health (Atlanta, GA)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- CVS Health (Atlanta, GA)
- …heart, each and every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters department, ... professional work experience in a healthcare finance setting. - 2 or more years of experience using Excel in...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Humana (Atlanta, GA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...methodologies that utilize MS-DRG, APR-DRG, APC or EAPG + 2 + years of experience with Optum Rate Manager +… more
- Waystar (Atlanta, GA)
- …**(highly valued, but not required):** + Previous experience with ANSI X12 EDI transactions and/or medical billing claim forms (CMS 1500 or UB-04) + Prior use of ... As part of our award-winning Client Success Department, the Technical Support Analyst is responsible for providing superior support to our clients with the… more
- Elevance Health (Atlanta, GA)
- **Business Information Analyst II** **Location:** This role requires associates to be in-office 1- 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The **Business Information Analyst II** is responsible for analyzing, reporting, and developing recommendations on… more
- PNC (Atlanta, GA)
- …have an opportunity to contribute to the company's success. As a Loan Support Analyst within PNC's Midland organization, you will be based within the PNC Midland ... and also supports remote and hybrid work environments. As a Loan Support Analyst in PNC Midland's Insurance department you will be responsible for determining… more
- Molina Healthcare (Atlanta, GA)
- …pricing, forecasting, and accrual processes. The candidate will summarize and analyze claim and utilization in support of these processes. This is a non-traditional ... role that blends standard actuarial modeling, medical economics, and financial reporting and analytics. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial… more