- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The RFP Analyst will own and coordinate the creation of accurate, compelling, and client-focused responses to RFPs, RFIs, and RFQs. This role ... + **What You'll Need** + Bachelor's degree in Communications, English, Marketing, Business Administration, or related field. + 2+ years' experience in proposal… more
- CVS Health (Atlanta, GA)
- …every day. **Position Summary** Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, ... analyzing quality healthcare data, and applying statistical analysis to create effectiveness...presentation * Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function… more
- CVS Health (Atlanta, GA)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- CVS Health (Atlanta, GA)
- …conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with ... state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. - Demonstrates high level of knowledge and… more
- Molina Healthcare (Atlanta, GA)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare, Medicaid , and Marketplace lines of business . + Certified … more
- Molina Healthcare (Augusta, GA)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** ** Business Leadership & Operational Ownership**… more
- Elevance Health (Atlanta, GA)
- …claims editing logic and content that promote payment accuracy and transparency across Medicaid , Medicare, and Commercial lines of business . **How you will make ... recommendations to optimize content performance and guide content strategy. + Review healthcare policy ( Medicaid manuals, fee schedules, CCI, OIG Alerts,… more
- Waystar (Atlanta, GA)
- …**WHAT YOU'LL NEED** + 4-year bachelor's degree + 3+ years of analyst /project management/account management experience in healthcare software or consulting ... clients + Travel independently or as a team for on-site Executive business reviews to strengthen relationships, review key performance metrics, and identify… more