• Lead Analyst , Payment Integrity

    Molina Healthcare (GA)
    **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
    Molina Healthcare (08/20/25)
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  • Sr Data and Reporting Analyst

    Public Consulting Group (Atlanta, GA)
    …public sector. To learn more, visit www.publicconsultinggroup.com . The Education Data Analyst works as part of a deadline-oriented, fast-paced team consisting of ... systems, data warehousing, federal reporting, and other programs. The Analyst will be responsible for reviewing, formatting, importing/exporting, transforming,… more
    Public Consulting Group (08/15/25)
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  • Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (Savannah, GA)
    **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care… more
    Molina Healthcare (07/17/25)
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  • Compliance Analyst Principal - Remote

    Prime Therapeutics (Atlanta, GA)
    …We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job ... client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's… more
    Prime Therapeutics (07/07/25)
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  • Senior Analyst , Medical Economics - REMOTE

    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 ... + Extract and compile information from various systems to support executive decision -making + Mine and manage...performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
    Molina Healthcare (07/10/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Atlanta, GA)
    …do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) ... identify compliance requirements, assess risks, and recommend compliant solutions that support enterprise goals + Conducts analysis to create written reports,… more
    Prime Therapeutics (07/25/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Atlanta, GA)
    …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,...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
    Prime Therapeutics (08/14/25)
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  • Hybrid in GA - Board Certified Behavior…

    Highlights Healthcare (Marietta, GA)
    …Behavior Assessments. + Provide parent training. + Provide mentoring, supervision, and support to clients. + Conduct clinic meetings as appropriate and ensure ... and Federal specific laws, Tricare/Governmental programs, Medical Insurance Providers, Medicaid Waiver Programs and ensure compliance with regulations. + Promote… more
    Highlights Healthcare (08/07/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Atlanta, GA)
    …should be knowledgeable of and have experience with South Carolina Medicaid **Job Summary** Provides subject matter expertise and responsibility for oversight, ... goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits &… more
    Molina Healthcare (08/14/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Augusta, GA)
    …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with Network to… more
    Molina Healthcare (08/14/25)
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