UNKNOWN

FEED

Knowledge of HIPAA compliance requirements in cloud data architectureExperience with healthcare payer/PBM systems, clearinghouses, or pharmacy operationsAWS certification in a bonus Formal Education Bachelor’s degree in Computer Science, Engineering, or a related technical discipline; equivalent practical experience considered Citizenship Requirement U.S. Citizenship required for this specific opportunity Security Clearance Requirements Must possess or qualify for a Public Trust (MBI) CRITICAL NOTES: SSG will not make assumptions regarding your qualifications. An understanding of AWS Elastic Compute Cloud (EC2) instance sizing, Operating System (OS) tuning, storage Input/Output (I/O) patterns, file transfer endpoints, routing, firewall coordination, network path debugging, and Secure Sockets Layer/Transport Layer Security (SSL/TLS) certificate lifecycle management.

YEAR

Syms Strategic Group, LLC (SSG)

Software Engineer Principal

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Clearwave's Product Management team operates under a Product Operating Model, which means every product manager is expected to lead with continuous discovery, define success metrics before building and report on business outcomes rather than just features shipped. This Data Analyst role supports turning scattered exports, portal reports and Salesforce data into the metrics, dashboards and analysis our business needs to prove value and make evidence-based prioritization calls.

Clearwave Corporation

Product Analytics Lead

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Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Elevance Health

PBM Business Consultant

OTHER

Founded in 2020 and backed by leading investors including Oak HC/FT, F-Prime Capital, Health Velocity Capital and Noro-Moseley Partners, Rialtic's best-in-class payment accuracy product brings programs in-house and helps health insurance companies gain total control over processes that have been managed by disparate and misaligned vendors. Introduce new functionality or capabilities within the Rialtic tool and receive product feedback for formal communication internally to our Product team  Act as primary contact for client inquiries, client support, and all key client deliverables.

Rialtic, Inc.

Client Experience Manager, Payment Integrity

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Together with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it. Primary Technical Skills (Must Have): Seeking an experienced Associate Principal with 10 to 12 years of expertise in Duck Creek Policy to lead design implementation and support of insurance policy administration solutions with DuckCreek Integration knowledge.

LTM Ltd

Duck Creek Policy Technical Lead

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With our unique access to the largest opted-in network of HCPs, their insights, and clinical expertise, we are the leading provider of AI technology and real-time channels that life science companies need to deliver clear, reliable, and evidence-based resources directly into the hands of HCPs. Reporting to the VP, Data & Analytics, your time will be balanced between two critical modes: helping lead the team''s day-to-day analytical execution (including managing analysts and occasionally performing hands-on analysis yourself) and taking ownership of some of our most high-visibility initiatives.

Impiricus Health Inc

Senior Director, Commercial Data & Analytics

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. What you'll be doing: Develop forms for new and revised coverages and products for product leadership that convey underwriting intent, demonstrate market competitiveness, and incorporate clear and supportable language for the successful resolution of claims.

Markel Corporation

Sr. Product Development Specialist

Markel Group Inc

Experience in running end-to-end experiments, including setting up datasets, developing controls, conducting hypothesis tests, running ablation studies, and rigorously evaluating outcomes. At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success.

Reserv

Senior Data Scientist

As a Senior Delivery Lead you will Deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Deloitte

RCM Senior Delivery Lead

Bachelor's degree in operations management, business administration, or a related field which includes five (5) years in a managerial or supervisory role; or nine (9) years of related professional experience which includes five (5) years in a managerial or supervisory role; or five (5) years of experience required at the lower level Sr Mgr, Business Ops (GSM012) or position equivalent.--Note: DBHDD operates Georgia’s 1915(c) waivers for people with intellectual and developmental disabilities, the NOW and COMP programs serving approximately 14,000 participants, and is the state’s behavioral health authority, overseeing Medicaid-funded mental health and substance use services.

Behavioral Health and Developmental Disabilities, Department of

Director, Office of Medicaid Coordination- Atlanta

FULL_TIME

The Delivery Leader will partner closely with stakeholders across the organization (managers, operations stakeholders, business analysts, developers, testers and infrastructure persons) to ensure consistent delivery, effective processes, and successful onboarding of new State Medicaid customers. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Sr. IT Project Manager - Project/Program

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Utilizing innovative business excellence frameworks, ongoing productivity improvements, process reengineering, automation, and cutting-edge technology platforms, Infosys BPM enables its clients to achieve their cost reduction objectives, improve process efficiencies, enhance effectiveness, and deliver superior customer experience. Infosys BPM Limited, a wholly owned subsidiary of Infosys Limited (NYSE: INFY), provides end-to-end transformative business process management (BPM) services for its clients across the globe.

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<h1>Infosys is a global leader in next-generation digital services and consulting. We enable clients in 45 countries to navigate their digital transformation.</h1>
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<p>With over three decades of experience in managing the systems and workings of global enterprises, we expertly steer our clients through their digital journey. We do it by enabling the enterprise with an AI-powered core that helps prioritize the execution of change. We also empower the business with agile digital at scale to deliver unprecedented levels of performance and customer delight. Our always-on learning agenda drives their continuous improvement through building and transferring digital skills, expertise, and ideas from our innovation ecosystem.</p>
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Infosys Ltd

Senior Technology Architect

The Work: Data Cloud architecture - own end-to-end design of Data Cloud solutions including data model, ingestion strategy, identity resolution, unified profiles, segmentation, and real-time activation for pharma, biotech, and MedTech clients. You design enterprise-scale solutions at the intersection of Salesforce Data Cloud, Agentforce, Voice AI, and Life Sciences commercial platforms - and you do it in high-stakes environments where architecture decisions shape multi-year client programs.

Accenture Plc

Salesforce Data Cloud & AI Architect Senior Manager

Deloitte's Finance Transformation offering helps insurance finance and global business services leaders navigate an increasingly challenging environment marked by disruptive tech like AI, market uncertainty, and regulatory change, including IFRS 17, LDTI, and evolving statutory requirements, and recognize the opportunity to better serve the enterprise, shareholders, customers, and regulators. Developing financial models, scenario analyses, and performance insights (including loss ratio, combined ratio, expense ratio, and reserve/premium trend analysis against external and macroeconomic impacts) to support strategic and operational decisions.

Deloitte Touche Tohmatsu Ltd

FP&A Advise Senior Consultant

Fp&A Advise Senior Consultant

Prepare/present the FWA program to state/federal personnel upon request, specifically during readiness reviews, and immediately following the go live or upon state agency personnel changes. Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes.

Centene Corporation Group

Manager, Payment Integrity

Codoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity. Working under the guidance of senior engineers, this role contributes to building reliable ETL workflows, optimizing database performance, and integrating structured and unstructured data sources.

Codoxo

Data Engineer I-ATL Office

Trinet ATS Feed

With over 2,100 employees across the world, serving millions of users in over 100 countries, CorDx delivers rapid testing and point-of-care medical device solutions used in the detection of infectious disease such as COVID-19, pregnancy, drugs of abuse, biomarkers, and more. Data-Driven Decision Making: Utilize HR analytics (turnover trends, performance indicators, compensation benchmarks) to support strategic workforce planning and drive organizational performance.

CorDx

Human Resources/Admin Director - Bilingual (Mandarin Speaking)

Working closely with key stakeholders, the Product Owner helps facilitate and manage the team backlog, develops user stories and acceptance criteria in collaboration with support Business Analysts, supports iteration planning, accepts completed work, and coordinates delivery dependencies. This role owns the detailed backlog and day-to-day execution required to deliver that roadmap and support the Product Manager and enterprise to develop, maintain and improve associated products on behalf of our clients and internal stakeholders.

Claims Analyst Jobs in Atlanta, GA

Software Engineer Principal Syms Strategic Group, LLC (SSG)

Product Analytics Lead Clearwave Corporation

PBM Business Consultant Elevance Health

Client Experience Manager, Payment Integrity Rialtic, Inc.

Duck Creek Policy Technical Lead LTM Ltd

Senior Director, Commercial Data & Analytics Impiricus Health Inc

Sr. Product Development Specialist Markel Corporation

Sr. Product Development Specialist Markel Group Inc

Senior Data Scientist Reserv

RCM Senior Delivery Lead Deloitte

Director, Office of Medicaid Coordination- Atlanta Behavioral Health and Developmental Disabilities, Department of

Sr. IT Project Manager - Project/Program Maximus

Senior Technology Architect Infosys Ltd

Salesforce Data Cloud & AI Architect Senior Manager Accenture Plc

FP&A Advise Senior Consultant Deloitte Touche Tohmatsu Ltd

Fp&A Advise Senior Consultant Deloitte

Manager, Payment Integrity Centene Corporation Group

Data Engineer I-ATL Office Codoxo

Human Resources/Admin Director - Bilingual (Mandarin Speaking) CorDx

Product Owner, Payment Integrity Zelis

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