- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The ... IT Business Systems Analyst (BSA) Sr is responsible for serving as a...Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges along with regulatory compliance requirements (HIPAA… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
- Molina Healthcare (Savannah, GA)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score… more
- Elevance Health (Atlanta, GA)
- ** Medicaid Enrollment Data Entry** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, ... not eligible for current or future VISA sponsorship._ The ** Medicaid Enrollment Data Entry** is responsible for daily business...role including a minimum of 1 year as enrollment analyst ; or any combination of education and experience which… more
- Molina Healthcare (GA)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
- State of Georgia (GA)
- …Behavior Analyst (BCBA) Contractor Georgia (https://ga.referrals.selectminds.com/jobs/63823/other-jobs-matching/location-only) Healthcare ... environment; + Conducts functional behavioral and skills assessments in accordance to Medicaid guidelines and as outlined by program policy manuals; + Develops, in… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations ... and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and… more
- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- **Description** The **Contract Implementation Analyst - Reimbursement** reduces the volume of requests forwarded to the IT Analysts by defining specific Epic and ... can be made by Finance Department employees known as Contract Implementation Analyst - Reimbursement. This Contract Implementation Analyst (CIA) role serves… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's… more