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77 Jobs in Georgia

  • Business Analyst III- Overpayment Prevention

    Elevance Health - ATLANTA, Georgia
    ... Business Analyst III _Location: This position will work a hybrid model (remote and ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential ...
  • SCA Appeals Representative I

    Elevance Health - ATLANTA, Georgia
    ... , understanding of provider networks, the medical management process, claims process, all of the company ... grievances and appeals by external accreditation and regulatory requirements, internal policies, and claims ...
  • Sr Claims Recovery & Analysis Analyst

    Carrington - Atlanta, Georgia
    ... Come join our amazing team and work remote from home! The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans. Determine the ...
  • Consumer Product Strategy Analyst III

    Bank of America - Kennesaw, Georgia
    ... Consumer Product Strategy Analyst III Charlotte, North Carolina;Belfast, Maine; Plano, Texas ... reports and updates for senior management Skills: Business Analytics Business ...
  • Business Information Analyst II

    Elevance Health - ATLANTA, Georgia
    ... Business Information Analyst II Location: This position will work a hybrid model ... Information Analyst II** is responsible for analyzing, reporting, and developing recommendations on data ...
  • Business Systems Configuration Analyst I

    Intermountain Health - Atlanta, Georgia
    ... Job Description: At SelectHealth, the Business Systems Configuration Analyst I is ... situations where configuration cannot fully meet the requirements. Works with management to identify the ...
  • Senior Benefit Plan Configuration Analyst

    Prime Therapeutics - Atlanta, Georgia
    ... ** Senior Benefit Plan Configuration Analyst Job Description Summary This position specializes in ... Senior Analyst will ensure a high level of quality and accuracy through benefit configuration, test ...
  • ACCOUNTS RECEIVABLE PROCESS ANALYST

    BrightSpring Health Services - VALDOSTA, Georgia
    ... ? Finance and Accounting focuses on the organization's financial management strategies and execution. If ... critical accounts list, code and comment prior to monthly Critical Account call.• Rebill claims for any ...
  • Actuarial Analyst- Analytics/Forecasting

    Humana - Atlanta, Georgia
    ... Become a part of our caring community and help us put health first The Actuarial Analyst 2 ... position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require ...
  • Underwriting Analyst - Accident & Health Insurance

    The Hartford - Alpharetta, Georgia
    ... UW Analyst - UO09CN We’re determined to make a difference and are proud to be an ... future. The Underwriting Analyst (UA) contributes to the ...
  • ACCOUNTS RECEIVABLE PROCESS ANALYST

    BrightSpring Health Services - VALDOSTA, Georgia
    ... ? Finance and Accounting focuses on the organization's financial management strategies and execution. If ... critical accounts list, code and comment prior to monthly Critical Account call.• Rebill claims for any ...
  • ACCOUNTS RECEIVABLE PROCESS ANALYST

    BrightSpring Health Services - VALDOSTA, Georgia
    ... ? Finance and Accounting focuses on the organization's financial management strategies and execution. If ... critical accounts list, code and comment prior to monthly Critical Account call.• Rebill claims for any ...
  • Financial Analyst (Actuarial Focus)

    Humana - Atlanta, Georgia
    ... , enhancing DVACO's total number of beneficiaries to over 200,000. The Financial Analyst _(Actuarial Focus ... key stakeholders at the DVACO. The Financial Analyst is seen as a subject matter expert and will lead ...
  • HC/Senior Consultant - Healthcare, Infosys Consulting - 119023BR

    Infosys Limited - Atlanta, Georgia
    ... management and networks, claims and encounter processing, value-based payment strategies, regulatory ... SME capacity, on a large CRM, Claims Adjudication systems, Care Management system implementation; plus ...
  • Operations Analyst III - Claims

    Trustmark - Atlanta, Georgia
    ... years’ experience within operations (preferably Claims) or as a business analyst with progressive ... are seeking a detail-oriented and analytical Operations Analyst to join our team, specializing in the ...
  • Business Analyst II - Remote preferably in the Florida market

    Prime Therapeutics - Atlanta, Georgia
    ... system process analysis and/or program management. The Pharmacy Analyst shall have experience in managing ... ** Business Analyst II - Remote preferably in the Florida market Job Description Summary Serves as ...
  • Data Analyst

    Sedgwick - Atlanta, Georgia
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Data Analyst ... of functions, duties, or local variances. Management retains the discretion to add or to change the ...
  • Employee Benefits Account Manager

    Hub International - Acworth, Georgia
    ... services, claims management, and compliance support. And this gives you the peace of mind that what ... insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life ...
  • Consumer Product Strategy Analyst III- Digital Fraud Strategies

    Bank of America - Kennesaw, Georgia
    ... Consumer Product Strategy Analyst III- Digital Fraud Strategies Charlotte, North Carolina ... management where candidate would be responsible for providing fraud requirements, testing, and development of ...
  • Decision Support Analyst - Medicaid Operations

    Highmark Health - Atlanta, Georgia
    ... data management staff to define an operational framework that will define, develop and implement ... . Role sits within my 007620 COE Claims Portfolio, who supports our Operations (Claims/Provider ...
  • Senior Medical Pharmacy Analyst - Remote

    Prime Therapeutics - Atlanta, Georgia
    ... ** Senior Medical Pharmacy Analyst - Remote Job Description Summary Responsible for leading and ... pharmacy claims data manipulation and analysis. Understanding of CPT and ICD-9 codes preferred ...
  • Sr IT Analyst - MedPharm

    Prime Therapeutics - Atlanta, Georgia
    ... ** Sr IT Analyst - MedPharm Job Description Summary This position will analyze, evaluate and ... Management, ITIL, Design Thinking and structured systems analysis and design. Work quickly and independently ...
  • Business Analyst II - Remote in the California market

    Prime Therapeutics - Atlanta, Georgia
    ... ** Business Analyst II - Remote in the California market Job Description Summary Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad ...
  • Market Finance Lead - New York, NY

    Humana - Atlanta, Georgia
    ... , Administrative, Product, Claims and trend analytics. This position is the team lead for all market financial ... support. The Market Finance Lead has 2-3 direct Analyst Staff directly providing support for all key ...
  • Sr. Lead Analyst, Commodity Risk

    Chick-fil-A - Atlanta, Georgia
    ... their bias and when they need to shift their strategy. The Commodity Analyst will play a crucial role in ... knowledge, strategies, and training to arm sourcing leads with skills to counter supplier’s claims and ...
  • Cons Prod Strategic Analyst IV

    Bank of America - Kennesaw, Georgia
    ... Cons Prod Strategic Analyst IV Phoenix, Arizona;Belfast, Maine; Plano, Texas; Richmond ... business trends based on economic and portfolio conditions and communicates findings to senior management ...
  • Manager - Card Fraud Claims

    UMB Bank - Atlanta, Georgia
    ... Duties & Responsibilities The Manager, Card Fraud Claims, will oversee and manage the UMB card fraud claims process, ensuring timely and accurate resolution of fraud cases. The role will ...
  • Advisory Services Analyst- State Health

    Mathematica - Atlanta, Georgia
    ... implementing all-payer claims databases, alternative payment models, or tools to support analytics, or ... enrollment, claims, financial, or program data is preferred. * Excellent written and oral communication ...
  • Operations Analyst II - Damage Collections

    Lumen - Atlanta, Georgia
    ... , excavators and property owners to resolve billed damage claims. This role is responsible to meet scope ... risk, identify potential alternatives and escalate as required to the appropriate level of management ...
  • Senior Procurement Analyst

    Crawford & Company - Atlanta, Georgia
    ... , finalization of contract and management, and contract performance management. Interface with a broad ... management. Proven ability and experience in interacting with business leads to define ...
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