- Molina Healthcare (GA)
- **(Sales) Compliance Analyst ** 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… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... requirements development. + Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance, and compliance + Determine… more
- Prime Therapeutics (Atlanta, GA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** ... The Compliance Principal is responsible for supporting Oversight and Monitoring...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Prime Therapeutics (Atlanta, GA)
- …Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst (Regulatory Change Management) - Remote **Job Description** The Senior ... Compliance Analyst assists in the implementation of...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) Must… more
- Prime Therapeutics (Atlanta, GA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** The Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal… more
- Highmark Health (Atlanta, GA)
- …:** **JOB SUMMARY** This job partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or ... trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance related processes. + Monitor governance and compliance of… more
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Actuarial Analyst 2, Pricing is responsible for supporting the implementation of rates, new plans and ... maintains pricing tools that price standard and custom benefits. The Actuarial Analyst 2, Pricing work assignments are varied and frequently require interpretation… more
- Elevance Health (Atlanta, GA)
- **Credentialing Analyst Pharmacy** **(BioPlus)** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... personalized support throughout the consumer's treatment journey. The **Credentialing Analyst Pharmacy (BioPlus)** is responsible for accurate and prompt… more
- Public Consulting Group (Atlanta, GA)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... support through review and updating reference data, contractual metrics, and compliance metrics. Ensures accurate RMC support through internal claim errors and… more
- City of Alpharetta, Georgia (Alpharetta, GA)
- Real Time Information Center Operation/ Analyst Print (https://www.governmentjobs.com/careers/alpharetta/jobs/newprint/5178724) Apply Real Time Information Center ... Operation/ Analyst Salary $50,515.00 - $59,089.50 Annually Location Alpharetta, GA...& Benefits Handbook or bona fide occupational qualifications). In compliance with the Drug-Free Workplace Act of 1988, the… more