- 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...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr … more
- Norstella (Atlanta, GA)
- Sr . Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... and support patients in need. We are seeking a Senior Medical Analyst to join our team...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
- Prime Therapeutics (Atlanta, GA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior ... analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field. + Previous experience using… more
- Prime Therapeutics (Atlanta, GA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & ... Complaints Senior Compliance Analyst assists in the implementation...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
- Evolent (Atlanta, GA)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... public health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor, managed care, or… 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 Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job ... data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and...analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI,… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr . Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... + Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL… more
- Molina Healthcare (Augusta, GA)
- …pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and oversight functions involving… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. *… more