- Actalent (Orlando, FL)
- Senior Medicare Coverage Analyst As a Senior Medicare Coverage Analyst , you will mentor and train junior staff, ensuring their work aligns with the ... in oncology. + Knowledge of medical billing and billing compliance . + Understanding of Medicare coverage policies....the comfort of your own home. You will be part of the Research Finance department, collaborating with a… more
- Molina Healthcare (St. Petersburg, FL)
- … compliance with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving business-critical operations ... to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance ... the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
- Prime Therapeutics (Tallahassee, FL)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** ... The Compliance Principal is responsible for supporting Oversight and Monitoring...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Intelligence ... Compliance Analyst assists in the implementation of Prime's ...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- Centene Corporation (Tallahassee, FL)
- …in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring ... with business areas to ensure effective prevention, detection, and correction of compliance issues. Facilitates and leads external audits related to Risk Adjustment… more
- HCA Healthcare (Gainesville, FL)
- …Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an exciting opportunity for ... you to join Parallon which is part of the nation's leading provider of healthcare services,...want to work as a Revenue Integrity Charge Review Analyst where your passion for creating positive patient interactions… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is made up of analysts, ... opportunity to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst , Scope Management plays a crucial role in supporting the… more
- Prime Therapeutics (Tallahassee, FL)
- …Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements ... decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
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