- Humana (Atlanta, GA)
- …actuarial and business needs for specific product lines. The Actuarial Analyst 2, General work assignments are varied and frequently require interpretation and ... **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, General provides actuarial support across a broad range of… more
- State of Georgia (Fulton County, GA)
- …or one (1) year of experience required at the lower level Compliance Business Analyst 2 (RCP031) or position equivalent. Additional Information + Agency ... Compliance and Reporting Analyst (State Based Exchange) Georgia - Fulton -...Coordinate with division staff to collect required Centers for Medicare and Medicaid Services (CMS) required financial and programmatic… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... launch and beyond, focusing on balancing customer needs with business goals. + Consults with business areas...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance… more
- Molina Healthcare (Augusta, GA)
- **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...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job… more
- Evolent (Atlanta, GA)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem...+ provide summary information to stakeholders & management answering business questions + create & maintain queries supporting precise… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... an integral part of the Pricer Business and System Support team responsible for administering complex...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- 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)
- …sound data presentation * Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the ... data analysis to strategize and achieve operational targets for NCQA HEDIS and Medicare Stars * Provide analysis support for PIP reports to regulators, including… more
- Molina Healthcare (Atlanta, GA)
- …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 to business and system requirements of customers as it pertains...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more