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Sr. SAP Functional Consultant

ACL Digital

Atlanta, Georgia, USA

Full-time

Participates in developing functional requirements, testing, training, and implementing Applications. Conducts business process analyses, needs assessments and preliminary cost/benefits analysis in an effort to align information technology with business objectives. '-Facilitates the implementation and support of SAP modules to enhance the clients' business functionality and overall performance, while maintaining a high degree of customer satisfaction. -Designs, configures, and tests various SAP

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Atlanta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

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 multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Atlanta, Georgia, USA

Full-time

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 multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Principal Data Scientist - Generative AI, Machine Learning, Python, R - Remote

Molina Healthcare

Remote or Atlanta, Georgia, USA

Full-time

Job Description Job Summary Responsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. Lead the development and implementation of data models, collaborate with cross-functional teams, and stay updated on industry trends. Ensure ethical data use and communicate complex technical concepts to non-technical stakeholders. Lead initiatives on model governance and model ops to align with regulatory and security requirements. This

Principal Data Scientist - Generative AI, Machine Learning, Python, R - Remote

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

Job Description Job Summary Responsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. Lead the development and implementation of data models, collaborate with cross-functional teams, and stay updated on industry trends. Ensure ethical data use and communicate complex technical concepts to non-technical stakeholders. Lead initiatives on model governance and model ops to align with regulatory and security requirements. This

Senior Software Development Engineer, Crew IT

Delta Air Lines Inc.

Atlanta, Georgia, USA

Full-time

Delta's IT department is undergoing a transformation to change the way we do business from top to bottom. We strive to build innovative solutions that deliver impact to our customers. As we grow, we seek new team members eager to collaborate and advance our mission of becoming a best-in-class IT organization at the world's premier airline! The Senior Software Development Engineer is responsible for development, operations, and enhancements being built for Delta's cloud journey. As a member of th

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program performance

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Atlanta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program performance

Sr Data Scientist - ML/AI/Databricks - Remote

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der

Sr Data Scientist - ML/AI/Databricks - Remote

Molina Healthcare

Remote or Atlanta, Georgia, USA

Full-time

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Atlanta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause

Senior Specialist, Provider Network Admin (Required Exp. - Communications & Training)

Molina Healthcare

Atlanta, Georgia, USA

Full-time

JOB DESCRIPTION Required Experience: Communications and Training Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and repor

Senior Specialist, Provider Network Admin (Required Exp. - Communications & Training)

Molina Healthcare

Decatur, Georgia, USA

Full-time

JOB DESCRIPTION Required Experience: Communications and Training Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and repor

MTA - Cybersecurity Director of AI/ML & Data Products

MCKESSON

Atlanta, Georgia, USA

Full-time

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patien

Director, Cloud Identity & Infrastructure Access

MCKESSON

Atlanta, Georgia, USA

Full-time

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patien

Senior AI/ML Scientist - Remote

Optum

Remote or Atlanta, Georgia, USA

Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv