- Evolent (Atlanta, GA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Rules Management , Analyst ** Seeking a detail-oriented ** ... Clinical Rules Management , Analyst ** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our … more
- Highmark Health (Atlanta, GA)
- …job works collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible ... subject matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and… more
- Elevance Health (Atlanta, GA)
- …of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management , a ... **Business Analyst III** **Location:** This role requires associates to...to quickly develop a comprehensive understanding of the business rules , core platforms, and applications for the data used… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns ... codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… more
- Highmark Health (Atlanta, GA)
- …well as taking technical direction from and supporting the Lead Cost Accounting Analyst with respect to cost allocation rules and system processes required.80% ... and reporting associated with the organization's financial, operational, and/or clinical performance. As such, this role generates audience-specific summaries of… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The staff Analyst is responsible for providing technical support, configuration, and maintenance for various healthcare applications and their ... lifecycle (eg, selection, implementation, support, archival and decommissioning). The staff analyst may also manage small projects related to these applications and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …relates to charge capture/billing concerns and works with the operational and clinical departments to ensure optimal charge capture processes are established and ... and thorough manner. + May complete focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in… more
- Aveanna Healthcare (Atlanta, GA)
- Sr. Paralegal Analyst (Employment Litigation) ApplyRefer a FriendBack Job Details Requisition #: 205891 Location: Atlanta, GA 30339 Category: Administrative/Clerical ... Officer. Requirements Essential Functions + Perform all elements of litigation case management , including file management , discovery, and trial activities. +… more
- Highmark Health (Atlanta, GA)
- …is responsible for implementation and execution of various post-award and financial management activities for grants, contracts and/or clinical trials within the ... and program income, effort reporting, reporting, other special test provisions, cash management invoicing, and clinical trial billing compliance.Keep current on… more