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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. Proficiency with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases.

YEAR

Syms Strategic Group, LLC (SSG)

EDI Analyst/Transaction Specialist

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You'll be surrounded by a team that loves what they do, leverages technology to improve efficiency & minimize duplicative work, and recognizes the enormous responsibility that they have - to support key business decisions with data backed insights and a deep understanding of insurance risk. You will be responsible for leading and supporting a wide variety of pricing and underwriting related initiatives, quantifying the impacts and implications of those initiatives on the business and identifying ways to the overall economics of the business.

At-Bay

Senior Actuarial Analyst, Pricing

This role supports health and welfare, retirement, leave, wellness, and international benefit offerings, partnering with global HR, brokers, Finance, Payroll, HRIS, and in-country vendors to help maintain competitive, compliant, and cost-effective programs across our regions of operation. The ideal candidate is a detail-oriented, service-focused benefits professional who can translate complex benefit concepts clearly, manage multiple priorities, and use data to support sound program and renewal decisions in a fast-paced, global environment.

Candescent

Benefits Analyst

What You'll Do: Research, analysis, and quality assurance of new and existing edit concepts focused on areas for growth of the Claims Editing library, Engage with Business Intelligence team to perform edit data analysis and create specifications for data analysis. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

Zelis

Concept Coding Analyst

Headquartered in vibrant Atlanta, Georgia, and operating in over 45 markets nationwide, we're proud to build homes through our trusted family of brands-including Innovative Construction Group, Centex, Pulte Homes, Del Webb, DiVosta Homes, American West, and John Wieland Homes and Neighborhoods, Pulte Mortgage, PGP Title, Pulte Insurance Agency -all united under the PulteGroup name. Job Summary: The Senior Risk Management Analyst is responsible for collecting, analyzing, validating, and presenting the Company's exposure, claims, and insurance data to support risk financing, actuarial analyses, insurance renewals, captive insurance operations, and management decision-making.

PulteGroup has been providing the American Dream of homeownership to families for almost 70 years. What started as a single home built and sold by the entrepreneurial spirit of an 18-year-old Bill Pulte, has grown into one of the country’s largest homebuilding companies. PulteGroup sells under many of the industry’s most recognized brand names and serves customers as they move through all phases of their lives. The Company operates in approximately 50 of the leading housing markets throughout the country.

PulteGroup Inc

Senior Risk Management Analyst

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WTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare: Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation.

Willis Towers Watson PLC

Senior Analyst - Health and Benefits Consulting

This role partners with business subject matter experts (SMEs) to understand reporting requirements, collaborates with engineering teams to source and prepare data within Azure and Microsoft Fabric, and develops business intelligence dashboards using Power BI and Tableau. The Tokio Marine HCC Group of Companies offers a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals.

HCC Life Insurance Company

Data Analyst

The analyst evaluates business needs, recommends scalable and modern approaches, and translates approved future-state designs into developer-ready Jira epics, features, user stories, acceptance criteria, business rules, data requirements, integration requirements, and non-functional requirements. Translate future-state processes into clear functional and technical specifications, including epics, features, user stories, acceptance criteria, business rules, decision tables, data definitions, process diagrams, interaction flows, interface requirements, error handling, audit needs, and security or control requirements.

Technical Business Systems Analyst

What You Will Be Doing: The Warranty Analyst position is responsible for preparation, processing, and settling of claim payments, in a timely manner, to Caterpillar and various other authorized vendors while also providing support and information to our service departments when needed. From Caterpillar heavy and compact construction equipment to on-highway trucks, we remain committed to learning more about our customers, offering equipment and support to keep up with their changing needs.

Yancey Bros. Co.

Warranty Analyst

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Dealer General Warranty (DGW) is our specialized Third-Party Administration (TPA) business focused on delivering market-leading warranty products and services to the automotive industry. Skills: Advanced Excel, SQL, BI and general data analysis skills, with the ability to work cross-functionally with leaders across operations and business units.

Integro Insurance Brokers

Risk Manager / Senior Risk Analyst

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Assisting clients and carriers with day-to-day email, phone, fax and mail requests for policies, endorsements, audits, certificates and/or auto ID cards, accounting/billing, coordination of claims/loss control services. Responsibilities will include, but are not limited to: Performing risk analysis studies not limited to compilations of underwriting information and coverage placement, loss forecasting and analysis to promote maximum protection of an organization's assets and assist in loss reduction.

Brown & Brown Inc

Cyber Risk Analyst

Managing consumer disputes, verification of debt requests, fraud and hardship claims including initial review, entry into the firm’s system of record, monitoring the status, and ensuring timely resolution based on firm and client directives and requirements. Primary responsibilities include management of consumer disputes, verification of debt requests, fraud and hardship claims to ensure proper tracking, reporting and organization.

HOUR

Mandarich Law Group, LLP

Compliance Analyst

Create, maintain, and support the distribution of applicable project-related artifacts including requirement documents, user stories, source to target mapping document, System User Guides, Operations Manuals, and Interface Control Documents. The Integrated Data Repository (IDR) is a high-volume data warehouse integrating Parts A, B, C, D, and DME claims, beneficiary and provider data sources, along with ancillary data such as contract information, risk scores, and many others.

Recruit Monitor

Junior Business Data Analyst (Remote)

Provide technical assistance to internal and external stakeholders, including funding recipients, by supporting system onboarding activities, troubleshooting technical issues, and addressing reporting and data-related questions.• Collaborate with program staff, information technology teams, enterprise platform teams, and external partners to support system operations and reporting requirements.• Chenega Enterprise Systems & Solutions, LLC, a Chenega Professional Services company, is seeking a Scientific Data Analyst II to support the U.S. Centers for Disease Control and Prevention (CDC) by overseeing data management, reporting, governance, quality assurance, and information management activities.

<p>Chenega Corporation is a premier Government and Commercial services provider to the security, healthcare, IT, environmental, military operations, construction, and tourism industries. Our integral business practices are rooted in the Alaska native culture of our shareholders. We are known for our exceptional employees, our fiscal strength, our creativity and innovation, and for providing excellent cost and performance value to our customers and business partners. Chenega returns all its profit to its native shareholders</p>

Chenega Corporation

Scientific Data Analyst II (Public Health)

New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hourWashington Exempt: $80,168.40/year Required Qualifications: Bachelor's degree in business, data analytics, data science, healthcare, engineering, information systems, finance, or a related field, or an equivalent combination of education and progressively responsible experience.

DaVita Inc

Sr Analyst, Business (ROPS)

DaVita Inc.

Sr Analyst, Business (Rops)

It combines a specialty-carrier focus with long-term stability and thinking, while promoting a culture of underwriting rigor, collaboration, strategic thought, superior technology and strong producer partnerships. The SAA will develop new and enhance existing actuarial analyses, processes and models that assist the pricing function in providing rating structures, pricing insights and portfolio rate monitoring.

IFG Companies

Senior Actuarial Analyst

Tokio Marine HCC

As an RCM Training and Quality Analyst 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 Training And Quality Analyst

The Consumer Relations Analyst II serves as the primary liaison between consumer, sales, manufacturing, quality control, customer service, and risk management departments at corporate and plant management, concern coordinators, and quality control personnel on consumer issues. From the wholesome goodness of Natures Own and Wonder to the bold and artisanal flavors of Daves Killer Bread, the rustic goodness of Canyon Bakehouse, and the sweet delights of Tastykake, each product is a celebration of taste and quality.

Claims Analyst Jobs in Atlanta, GA

EDI Analyst/Transaction Specialist Syms Strategic Group, LLC (SSG)

Senior Actuarial Analyst, Pricing At-Bay

Benefits Analyst Candescent

Concept Coding Analyst Zelis

Senior Risk Management Analyst PulteGroup Inc

Senior Analyst - Health and Benefits Consulting Willis Towers Watson PLC

Data Analyst HCC Life Insurance Company

Technical Business Systems Analyst HCC Life Insurance Company

Warranty Analyst Yancey Bros. Co.

Risk Manager / Senior Risk Analyst Integro Insurance Brokers

Cyber Risk Analyst Brown & Brown Inc

Compliance Analyst Mandarich Law Group, LLP

Junior Business Data Analyst (Remote) Recruit Monitor

Scientific Data Analyst II (Public Health) Chenega Corporation

Sr Analyst, Business (ROPS) DaVita Inc

Sr Analyst, Business (Rops) DaVita Inc.

Senior Actuarial Analyst IFG Companies

Technical Business Systems Analyst Tokio Marine HCC

RCM Training And Quality Analyst Deloitte

Consumer Relations Analyst II Flowers Foods Inc

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