- Elevance Health (Tampa, FL)
- ** Medicare Risk Adjustment Advanced Analytics Analyst ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst ** is...Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives. + Performs data… more
- Centene Corporation (Tallahassee, FL)
- …large-scale data mapping and transformation. Familiarity with provider directories and Medicare data is highly preferred. Pay Range: $55,100.00 - $99,000.00 ... and objectives for assigned function. This role will focus on data mapping for Medicare provider directories. + Support business initiatives through data … more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.… more
- AdventHealth (Maitland, FL)
- … Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance ... : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and… more
- University of Miami (Coral Gables, FL)
- …work at the University of Miami. CORE JOB SUMMARY The Contracts and Grants Analyst 1 ( Medicare Billing Coding & Financial) works independently to review ... including agreements and proposals, as required for development of Medicare Coverage Analysis (MCA), facilitating research billing, financial compliance and… more
- Molina Healthcare (St. Petersburg, FL)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data ,… more
- ChenMed (Miami, FL)
- …Care leadership and will make data -driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has ... and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data -driven insights and analytical… more
- Molina Healthcare (St. Petersburg, FL)
- …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data , regulatory processes, and ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...or analytics + Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...and complex actuarial models + Lead, perform, and review data analyses, reporting, and projections + Lead, perform, and… more