- University of Miami (Miami, FL)
- …benchmarking of performance measures in relation to best practices for the healthcare service industry and internal business objectives. + Provides performance ... & Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent conducts highly complex analysis while leading the… more
- CVS Health (Tallahassee, FL)
- …every day. **Position Summary** Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, ... analyzing quality healthcare data, and applying statistical analysis to create effectiveness...presentation * Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function… more
- CVS Health (Tallahassee, FL)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- CVS Health (Tallahassee, FL)
- …conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with ... state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. - Demonstrates high level of knowledge and… more
- Molina Healthcare (St. Petersburg, FL)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare, Medicaid , and Marketplace lines of business . + Certified … more
- Molina Healthcare (FL)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** ** Business Leadership & Operational Ownership**… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …mission and culture? Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care)!_ Devereux provides mental and behavioral health services ... for new MDs and ARNPs joining MMA plans. + Apply for Florida Medicaid numbers for providers during onboarding. + Complete special projects within designated… more