- AIG (Atlanta, GA)
- …AIG, 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. ... responsive, fair and professional service with empathy and efficiency. About the role: The Senior Claims Business Analyst partners with NAM Claims ,… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in that transformation. It's ... will create an impact Full Time US-based employment, the Claims Law Firm Analyst shall be responsible...Work with claims handlers to understand the claims business area, and the cost drivers… 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
- Highmark Health (Atlanta, GA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Elevance Health (Atlanta, GA)
- …a detailed story to respective business stakeholders. The Advanced Analytics Analyst Senior creates statistical models to predict, classify, quantify, and/or ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The… more
- Evolent (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… 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...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- PNC (Atlanta, GA)
- …and 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 ... environment; and also supports remote and hybrid work environments As a Loan Support Analyst Senior in PNC Midland's Insurance department you will be responsible… more
- Elevance Health (Atlanta, GA)
- **Provider Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... locations may be considered. The **Provider Cost of Care Analyst Senior ** is responsible for providing analytical...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Team** The Data & Technology Delivery Team serves as a key partner between the business and technical teams to ensure the all intake and delivery of future and ... not limited to: **Responsibilities** + Work cross-functionally with Product Owners ( Business Owners), Delivery Lead (Product Development), Business Operations,… 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience… more
- Brown-Forman (Atlanta, GA)
- …insurance claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. + ... Education: Bachelor's degree in a related field (Finance, Risk Management, Business Administration) or equivalent experience. + Experience: Five years of progressive… more
- CVS Health (Atlanta, GA)
- …of organizational goals through the issuance of prospective and existing business quotations and proposals including administrative fee pricing, stop loss, RFP ... will have the opportunity to work on a diversified book of business including Mid-Market, Select/Key Accounts, Small Group, and our Captive/Alternate channels.… 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
- Evolent (Atlanta, GA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving… 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 ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Humana (Atlanta, GA)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- WTW (Atlanta, GA)
- …to join the growing WTW Global Aviation & Space team, a specialist line of business with long-term career potential. In this role, the analyst will support the ... comparison, ensuring binder and policy accuracy, and preparing documentation for senior broker review. + Maintaining accurate account files by organizing binders,… more
- Prime Therapeutics (Atlanta, GA)
- …every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst ... the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor...Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or… more
- Highmark Health (Atlanta, GA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... lower level HMIG Underwriters. **ESSENTIAL RESPONSIBILITIES** + Responsible for a book of business of renewing accounts and writing new business at profitable… more