- Actalent (Atlanta, GA)
- Medicare Coverage Analyst (MCA)-Clinical Research Medicare Coverage Analyst (MCA) for a remote 6-month contract role with potential for extension Role ... Highlights: + Conduct Medicare Coverage Analysis for clinical trials + Interpret protocols...research billing or coverage analysis + Strong knowledge of Medicare regulations and CTMS/EMR systems + High aptitude in… more
- Molina Healthcare (Savannah, GA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment… more
- Molina Healthcare (Augusta, GA)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… 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
- 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...Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements… more
- Elevance Health (Atlanta, GA)
- **Pharmacy Financial Analyst , Cost of Care - Business Information Consultant** **Location:** This role requires associates to be in-office **1** day per week, ... Monday - Friday, 8:00am - 5:00pm The **Pharmacy Financial Analyst , Cost of Care - Business Information Consultant** is...to Pharmacy cost of care, pharmacy trends, and other Medicare book of business' related issues/metrics. **How you will… 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 ... Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing… 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
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a ... corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Sales Compliance Analyst position is primarily responsible for Sales Oversight. +… 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 ... Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** +… more