- Molina Healthcare (FL)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional… more
- Evolent (Tallahassee, FL)
- …in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to communicate ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Molina Healthcare (Tampa, FL)
- …scrubbing, scrapping, and cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting… more
- AdventHealth (Maitland, FL)
- …and capitation Working knowledge of population health, utilization measurement, and claims analytics Managed Care , Patient Financial services, health ... ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both… more
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... effectively. **The value you will bring to the team:** Systems/ Analytics Maintains Epic Certification (CPE) Continuing Professional Education Uses...and interim updates which may impact payers and products managed by other Managed Care … more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Cost of Care /Provider Contracting Data Analyst Senior** **Location:**...projecting different cost of savings targets based upon various analytics . + Identifies cost of care savings… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst ** **Location** :...applicable. + Recommends standardized practices to optimize cost of care . + Educates provider contractors on contracting analytics… more
- Elevance Health (FL)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of… more
- Elevance Health (FL)
- …range of experience with autism services and treatment required. + Prior managed care experience required. **Preferred Skills, Capabilities and Experiences:** + ... support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care ....that do not Require licensure, a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the… more