- Molina Healthcare (Jacksonville, FL)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, ... of data to support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and Governmental (… 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 Inquiry & Complaints ... Senior Compliance Analyst assists in the implementation of...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… 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 (Panama City, 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
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...+ Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the… more
- Elevance Health (Tampa, FL)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data,… more
- Evolent (Tallahassee, FL)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more