• Senior Analyst, Operational Regulatory Oversight-…

    Molina Healthcare (Augusta, GA)
    …to assess, oversee, and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and ... analyzes state and federal regulatory rules, contracts, and other guidance to assess compliance and support building regulatory compliance audit procedures. * At… more
    Molina Healthcare (08/22/25)
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  • Compliance Analyst Principal - Remote

    Prime Therapeutics (Atlanta, GA)
    …(CHC) + Advanced degree in related area of study, such as Juris Doctor + Medicare Part D , Medicaid, and/or Affordable Care Act knowledge and experience ... fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is… more
    Prime Therapeutics (07/07/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Atlanta, GA)
    …(CHC) + Advanced degree in related area of study, such as Juris Doctor + Medicare Part D , Medicaid, and/or Affordable Care Act knowledge and experience ... fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The … more
    Prime Therapeutics (07/25/25)
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  • Medical Director -Pharmacy Appeals

    Humana (Atlanta, GA)
    …Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements ... Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D ...policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included… more
    Humana (08/22/25)
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  • Senior Product Owner

    CenterWell (Atlanta, GA)
    …the delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers ... or a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D . + Experience with contact center platforms… more
    CenterWell (08/23/25)
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  • Primary Care Physician Lead

    CenterWell (Savannah, GA)
    …trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM) costs while maintaining high ... **Become a part of our caring community and help us...individual clinicians about patient terminations, in + collaboration with Compliance + Supporting clinicians with schedule templates, coverage, daily… more
    CenterWell (06/27/25)
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  • Primary Care Physician

    CenterWell (Stone Mountain, GA)
    **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
    CenterWell (08/29/25)
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  • Nurse Practitioner / Physician Assistant

    CenterWell (Marietta, GA)
    **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral… more
    CenterWell (08/27/25)
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  • Primary Care Physician

    CenterWell (Scottdale, GA)
    **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... serve. Our care team consists of doctors, advanced practice professionals, Pharm D , care coach nurses, MAs, behavioral health specialists, quality based coders,… more
    CenterWell (08/09/25)
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  • Encounter Data Management Professional

    Humana (Atlanta, GA)
    **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Encounter Data ... have comprehensive knowledge of processes, policies and procedures as well as compliance guidelines. Will support achieving operational and compliance key… more
    Humana (08/16/25)
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