- Highmark Health (Atlanta, GA)
- …for compliance . + Responsible for understanding and applying accreditation and regulatory requirements. May support Regulatory Compliance department to ... compliance with health plan standards and policies and regulatory bodies; performing and providing oversight of the care...standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a… more
- Intermountain Health (Atlanta, GA)
- …support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This ... **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an… more
- Highmark Health (Atlanta, GA)
- …the strategic integration of Artificial Intelligence. The Lead Technical Analyst leverages significant independent judgment and discretion to collaborate extensively ... cases, and conducting cost analysis where appropriate. The Lead Technical Analyst analyzes complex data to identify business problems, trends, and opportunities… more
- Humana (Atlanta, GA)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Highmark Health (Atlanta, GA)
- …(SME) on moderately complex projects (which are cross functional, with potential regulatory risk exposure, customer service & financial impacts ). Acts as face ... Resolves very complex issues (may involve multiple systems) while understanding potential regulatory risk exposure and customer service & financial impacts. Acts as… more
- Acuity Inc. (Atlanta, GA)
- …Units, Performance Shares, and Stock options; Domestic and international knowledge of regulatory and compliance matters related to equity programs and taxation. ... and their compliance with Section 409A of the Internal Revenue Code . + Knowledge of third-party equity administration systems; Merrill Lynch/Bank Of America… more
- Highmark Health (Atlanta, GA)
- …and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state ... regulatory guidelines, and industry standards. + Monitors, reviews and...3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate… more
- Highmark Health (Atlanta, GA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The Pharmacy Analyst works with the Pharmacy Market business owners, stakeholders, and other ... new Pharmacy products. + Partnering with business units to ensure compliance with governmental, contractual, and corporate guidelines, continuously monitoring … more
- US Bank (Atlanta, GA)
- …**Job Description** US Bank is seeking a Commodity Derivatives Products Operations Lead/ Analyst with relevant experience that will contribute toward the success of ... Back Office and will partner with business line, operations, technology, and compliance stakeholders to implement and maintain the operational solutions necessary to… more
- WSP USA (Atlanta, GA)
- …representatives on federally, state, and locally funded projects. + Uphold WSP's Code of Conduct, ensuring ethical decision‑making and compliance with safety ... **This Opportunity** WSP is seeking a **Junior Operations & Modeling Rail Planner/ Analyst ** to join our **Transit and Rail Operations team** . Positions are… more