- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
- Prime Therapeutics (Tallahassee, FL)
- …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 of Prime's compliance programs,...to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance… more
- Evolent (Tallahassee, FL)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is...the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and… more
- Evolent (Tallahassee, FL)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem...+ provide summary information to stakeholders & management answering business questions + create & maintain queries supporting precise… more
- BayCare Health System (Clearwater, FL)
- …**Position** Revenue Management Analyst Sr **Location** Clearwater:BayCare Sys Office West | Business and Administrative | Full Time **Req ID** 106520 ... Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management Analyst plays a key role in BayCare's Reimbursement department, specializing in… more
- University of Miami (Miami, FL)
- …at the University of Miami has an exciting opportunity for a Quality Management Analyst 2. CORE JOB SUMMARYThe Quality Management Analyst 2 performs complex ... published by external regulatory agencies, ie, Centers for Medicare and Medicaid Services, Hospital Compare and Physician Compare. Collaborates closely with… more
- University of Miami (Miami, FL)
- …& Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent conducts highly complex analysis while leading the ... state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that influence… more
- CVS Health (Tallahassee, FL)
- …including National Committee for Quality Assurance (NCQA) and state regulators for Medicaid and CHIP. Links the quality management activities to business ... activities + Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function...experience in managed care quality and/or 3 years in Medicaid managed care + Must be analytical and able… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The WFM Intraday Analyst is responsible for monitoring, analyzing, and optimizing real-time workforce performance to ... to make an impact** **Education & Experience** + Bachelor's degree in Business , Operations, Workforce Management, or a related field (or equivalent work experience).… more
- Molina Healthcare (Jacksonville, FL)
- …claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed ... on databases and ensure adherence to business and system requirements of customers as it pertains...presenting and documenting is required, + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience… more