- Baylor Scott & White Health (Atlanta, GA)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS)....processing and submission issues and develops recommendations based on data and industry standards. + Performs various financial… more
- State of Georgia (Fulton County, GA)
- … Fraud Division. Job Summary Assists in performing various audit and financial investigative procedures on Medicaid providers suspected of having committed ... case. + Analyzes data and summarizes findings on audit procedures and financial matters related to the case. + Collects, evaluates and analyzes evidence obtained… more
- State of Georgia (Fulton County, GA)
- Financial Analyst 2 Georgia - Fulton (https://careers.georgia.gov/jobs/57870/other-jobs-matching/location-only) New (https://careers.georgia.gov/landingpages/ ... Community Health, Financial Management Division, is seeking a qualified Financial Analyst II responsible for performing professional accounting duties… more
- CVS Health (Atlanta, GA)
- …querying with SQL and/or other analysis tools. - Proven experience as a healthcare data analyst . - Advanced proficiency with data tools including Microsoft ... who is highly detail-oriented, an expert communicator, and top-notch analyst skilled at using data analytics to...- Experience working with some of the following: claims, Medicare/ Medicaid data , care management data … more
- Humana (Atlanta, GA)
- …health first** The Actuarial Analyst 1, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely ... and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 1, Analytics/Forecasting… more
- Humana (Atlanta, GA)
- …health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely ... and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is ... and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in complex projects that are… more
- Prime Therapeutics (Atlanta, GA)
- …pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support, and maintain financial and ... drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The Actuarial Analyst ...and projections + Perform and review ad hoc pharmacy data mining and analyses to help investigate and answer… more
- Elevance Health (Atlanta, GA)
- **Business Analyst II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The **Business Analyst II** works within the Cost Containment Unit (CCU) which is… more
- Waystar (Atlanta, GA)
- …POSITION** As part of our award winning Client Success Department, the Technical Analyst is responsible for providing superior support to our clients with the ... clients to become more efficient and successful. The primary responsibility of the Analyst is to provide exceptional support to our clients by handling incoming… more
- State of Georgia (Dekalb County, GA)
- …operational changes Under supervision, performs complex administrative duties and statistical, financial , or operational data analysis and reporting Identifies ... Operations Analyst - Region 3 Georgia - Dekalb -...and DBHDD staff regarding billing and approval processes for Medicaid waiver and DBHDD state funded services. Authorizes services… more
- Aveanna (Atlanta, GA)
- HRIS Reporting Analyst - SOX and Auditing ApplyRefer a FriendBack Job Details Requisition #: 196060 Location: Atlanta, GA 30339 Category: Business Operations Salary: ... the individuals we serve. Current Opportunities: The HRIS Reporting Analyst - SOX and Auditing plays a critical role...monitoring, and testing controls within Workday processes to mitigate financial risks and uphold the integrity of financial… more
- Public Consulting Group (Atlanta, GA)
- …specific timeline and budget while working at a detailed level. + Strong analytical and financial data analysis skills. + Attention to detail and ability to work ... to succeed. Services: + Teaching + Learning Solutions + Data Systems + IT Solutions + Financial ...service delivery for state behavioral health authorities. + Conducts financial analysis for Medicaid rate studies and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Commercial Pricing Analyst plays a crucial role in the organization to develop, implement, and analyze our pricing strategies to maximize ... teams to develop pricing models and strategies that align with the company's financial goals and market positioning. This may include setting prices for new… more
- Public Consulting Group (Atlanta, GA)
- …client relationships. + Strong quantitative skills and ability to analyze and interpret financial data . + Ability to research, analyze and interpret policy, ... HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal… more