- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model...financial analysis to assist in delivering optimal health care management and decision making + Understanding and applying data… more
- Insight Global (Plantation, FL)
- Job Description Our client is looking for a Product Delivery/QA Analyst to join their team in Plantation, FL. The Product Delivery Analyst will coordinate and ... and IT, ensuring a smooth handover between teams. The Product Delivery Analyst will be responsible for developing, implementing and documenting testing activities,… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... large and varied data sets, analyzing healthcare data for decision support , and communicating findings. Qualified candidates are the diligent problem solvers… more
- BayCare Health System (Clearwater, FL)
- …Full-Time | Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management Analyst plays a key role in BayCare's Reimbursement department, ... a mission-driven team.** Equal Opportunity Employer Veterans/Disabled **Position** Revenue Management Analyst Sr **Location** Clearwater:BayCare Sys Office West… more
- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management ** The Specialty Scope Management team is made ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst , Scope Management plays a crucial role… more
- Point32Health (FL)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... compliant management and coordination of assigned member appeals and grievance...the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration… more
- BayCare Health System (Clearwater, FL)
- …home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy ... responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility while… more
- Mass Markets (FL)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ... center or customer service environment. + Proficiency in workforce management tools such as IEX, Beeline, CMS ,...we offer a variety of benefits and incentives to support and reward our team members. What You Can… more
- Molina Healthcare (FL)
- …Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports. + Support the management of the regulatory memo distribution process Ability ... activities at individual state health plans. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsibility for supporting the day to… more
- Intermountain Health (Tallahassee, FL)
- …2. Understands and assists in other areas of the revenue cycle to support the quality and compliance of charges and documentation. 3. Participates, researches and ... follows-up on topics presented at department and system -wide initiatives. These may include audits and reviews for government, commercial and third party payers. 4.… more