- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Senior Business Analyst - Medicaid Implementations - Remote **Job Description** The Business ... Analyst (BA) Senior will execute on medium projects as a liaison among business operations, technology groups, clients, business partners, vendors, and project/program team to understand, analyze, and facilitate business needs, requirements, and impacts of… 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
- CVS Health (Atlanta, GA)
- …all with heart, each and every day. **Position Summary** The Sr. Business Analyst supports Medicaid Enrollment Operations by making data accessible and ... report on vendor performance data. + Familiarity with Medicare and Medicaid regulations. **Education** + Associates degree or equivalent experience. **Anticipated… 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
- Elevance Health (Atlanta, GA)
- **Actuarial Analyst III** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more