- Molina Healthcare (Atlanta, GA)
- …(using Power BI and Databricks) to inform and influence decision making for the Medicare Stars program * Responsible for data compilation, data management, ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,...experience **PREFERRED EXPERIENCE:** 7-9 years Power BI and Databricks Medicare Stars experience To all current Molina employees: If… more
- Elevance Health (Atlanta, GA)
- …TN, St. Louis, MO and Louisville, KY. The **Provider Network Analyst Lead ** reviews and strategizes between data , creates models, and reporting spreadsheets ... **Provider Network Analyst Lead ** **Location:** This position will...development, client services, and actuarial services. + Manages large data sets, including claims and UM data … more
- Molina Healthcare (Atlanta, GA)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...in QNXT or Networx + Must have knowledge on Medicare payment methods + Experience on Hospital payment methodology… more
- Molina Healthcare (Atlanta, GA)
- …to management + Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Highmark Health (Atlanta, GA)
- …develops and implements strategies to enhance member satisfaction for Medicare Advantage and Dual-Special Needs Plan members. Responsibilities include: analyzing ... to design and execute member outreach and engagement programs to support Medicare CAHPS and the Health Outcomes Survey measures; developing initiatives to improve… more
- Humana (Atlanta, GA)
- …need experts in technology to help us gain insight and prevent threat and data leakage in changing threat landscape via use of technologies and analytics to enhance ... of Security Operation services such as Tiered Incident Response, Digital Forensics, Data Loss Prevention (DLP) Operations, and Litigation Support. This role demands… more
- Waystar (Atlanta, GA)
- …(enhancements and areas for improvement) to assist in driving product strategy + Lead and/or participate in status calls at a defined cadence (weekly to monthly) ... align results + Consistently identify opportunities to improve processes and conduct data analysis to identify root cause + Provide ongoing training and development… more
- Waystar (Atlanta, GA)
- …POSITION** Waystar is seeking a smart, technical and creative Enterprise Rules & Edits Analyst seeking a chance to grow their career and work with claim billing & ... PowerBI, SQL Databases) to identify trends and outliers in EDI 837/835/278 transaction data * Transform data into actionable claim edits, policy recommendations… more