- University of Miami (Miami, FL)
- …System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr. Analyst - Quality and Population Health. The Epic Sr. Analyst - Quality ... tickets, identification and implementation of application changes, retrieval of requested data , and execution of day-to-day operations. + Collaborates with trainers… more
- University of Miami (Miami, FL)
- …for a Quality Management Analyst 2. CORE JOB SUMMARYThe Quality Management Analyst 2 performs complex analysis, data validation, and verifies accuracy of ... monitored and published by external regulatory agencies, ie, Centers for Medicare and Medicaid Services, Hospital Compare and Physician Compare. Collaborates closely… 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 ... end to end testing in the specialty domain. Test data is analyzed to inform decision makers. Data...exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across… more
- BayCare Health System (Clearwater, FL)
- …mission-driven environment. **Your Role Within the Team:** + Analyze government reimbursement data and develop strategies for Medicare /Medicaid Cost Reports + ... Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management Analyst plays a key role in BayCare's Reimbursement department, specializing in… more
- University of Miami (Miami, FL)
- …& Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent conducts highly complex analysis while leading the ... the mandates by state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health ... information systems, analyzing quality healthcare data , and applying statistical analysis to create effectiveness analyses...strategize and achieve operational targets for NCQA HEDIS and Medicare Stars * Provide analysis support for PIP reports… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... claims + Prior professional experience utilizing Microsoft Excel (eg performing basic data analysis in excel and utilizing pivot tables and various functions such… more
- Molina Healthcare (Tampa, FL)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...proof of concept tests without needing mentoring + Eg, Medicare Exclusion POC + Acts as a team lead,… more
- Molina Healthcare (Jacksonville, FL)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more
- Molina Healthcare (Orlando, FL)
- …+ Computer Science or Info tech + Testing experience required + Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. **PREFERRED EXPERIENCE:** + ... SQL expertise + Excel expertise + Medicare , Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and… more