- AdventHealth (Maitland, FL)
- …appeal processes. + Facilitate resolution to contract violations by leveraging knowledge of Medicare Advantage plans regulatory requirements and Medicare ... Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance… more
- ChenMed (Miami, FL)
- …leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the ... Minimum of four (4) years of related experience + Experience in a Medicare Advantage , Hospital Systems and/or risk-based healthcare organization, preferred We're… more
- Molina Healthcare (St. Petersburg, FL)
- …proficiency in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the ... needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and… more
- University of Miami (Miami, FL)
- …you will: + Build and maintain Clinician's workflow and HEDIS quality measure for Medicare Advantage programs + Build and maintain CMS Quality Payment Program ... has an exciting opportunity for a Full-time Epic Sr. Analyst - Quality and Population Health. The Epic Sr....documentation and training strategies. + Works with stakeholders, the business community, and end users to ensure the application… more
- Molina Healthcare (St. Petersburg, FL)
- …+ Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...senior analysts. + Document data sourcing steps, methodologies, and business rules to promote traceability and team learning. +… more