• Medicare Risk Adjustment Advanced Analytics…

    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
    Elevance Health (07/29/25)
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  • Business Analyst II- Medicare…

    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
    Centene Corporation (07/28/25)
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  • Operational Regulatory Oversight Analyst…

    Molina Healthcare (St. Petersburg, FL)
    …to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to ... to and compliance with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (07/19/25)
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  • Senior Business Analyst ( Medicare…

    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 (07/27/25)
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  • Senior Actuarial Analyst ( Medicare…

    Molina Healthcare (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
    Molina Healthcare (07/25/25)
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  • Actuarial Analyst 2

    Humana (Tallahassee, FL)
    …and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and ... of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data … more
    Humana (07/31/25)
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  • Contract & Grants Analyst 1 - Hybrid/Remote

    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
    University of Miami (07/23/25)
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  • Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (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
    Molina Healthcare (07/17/25)
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  • Senior Health Economics Analyst

    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
    ChenMed (07/15/25)
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  • Senior Actuarial Analyst - REMOTE

    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
    Prime Therapeutics (06/09/25)
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