- Molina Healthcare (Orlando, FL)
- **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
- Humana (Tallahassee, FL)
- …actuarial and business needs for specific product lines. The Actuarial Analyst 2, General work assignments are varied and frequently require interpretation and ... **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, General provides actuarial support across a broad range of… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... launch and beyond, focusing on balancing customer needs with business goals. + Consults with business areas...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… 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
- 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...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job… 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 ... monitored and published by external regulatory agencies, ie, Centers for Medicare and Medicaid Services, Hospital Compare and Physician Compare. Collaborates closely… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... an integral part of the Pricer Business and System Support team responsible for administering complex...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… 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 ... the mandates by state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that… more