• Senior Analyst , Special Investigative Unit

    CVS Health (Atlanta, GA)
    …tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + ... Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or… more
    CVS Health (08/24/25)
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  • Health Plan Operations, Payment Integrity Program…

    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
    Molina Healthcare (08/14/25)
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  • Payment Integrity Program Manager - Health Plan

    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 (08/14/25)
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  • Clinical Content Strategy Manager

    Elevance Health (Atlanta, GA)
    …editing logic and content that promote payment accuracy and transparency across Medicaid, Medicare , and Commercial lines of business . **How you will make an ... content strategy to meet financial and operational targets. As a Clinical Content Analyst , you'll research and interpret CMS, CPT/AMA and other major payer policies… more
    Elevance Health (08/19/25)
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  • Client Success Manager

    Waystar (Atlanta, GA)
    …clients + Travel independently or as a team for on-site Executive business reviews to strengthen relationships, review key performance metrics, and identify ... YOU'LL NEED** + 4-year bachelor's degree + 3+ years of analyst /project management/account management experience in healthcare software or consulting environment +… more
    Waystar (06/03/25)
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