- Molina Healthcare (St. Petersburg, FL)
- …subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and ... monitors Health Plan Scorable Action Items (SAIs) to ensure performance...efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance without needing extensive oversight. +… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... individual who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying, leading, and executing operational… more
- Molina Healthcare (Miami, FL)
- …subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and ... monitors Health Plan Scorable Action Items (SAIs) to ensure performance...tracking cost containment initiatives through comprehensive clinical and financial analysis of claims data, medical documentation, and itemized bills.… more
- Cardinal Health (Tallahassee, FL)
- …are looking for a Data Scientist, Operations Research Analyst to join our Decision Science Solutions (DS2) team. Our mission is to improve our pharmaceutical supply ... We perform analyses, recommend solutions, and build products to enable better decision making in the following areas: + Distribution center network design and… more
- Elevance Health (FL)
- …improvement opportunities of current predictive modeling algorithms. + Determines how decision support systems will provide the data required to make effective ... Requires a BA/BS and minimum of 8 years business analysis experience, which should include analysis and...Nevada, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- The Cigna Group (Tallahassee, FL)
- **Overview** A career within Forsyth Health 's Data & Analytics team will provide you with the opportunity to help Pharma/Life Science organizations uncover patient ... and market insights. At Forsyth Health , we focus on a collection of data management,...of interest in HVM data and assess using univariate analysis and data investigations + Empower clients to generate… more
- Cardinal Health (Tallahassee, FL)
- At Cardinal Health , we are developing the innovative products and services that make healthcare safer and more productive. Join a growing, global company genuinely ... customers and communities. **What Software Engineering contributes to Cardinal Health ** Software Engineering is responsible for designing, developing, implementing,… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical ... clinical information, assessing medical policy adherence and consistency in decision -making, identifying non-compliance issues, and developing and implementing quality… more
- Cardinal Health (Tallahassee, FL)
- Headquartered in Dublin, Ohio, Cardinal Health , Inc. (NYSE: CAH) is a global, integrated healthcare services and products company, providing customized solutions for ... hospitals, health systems, pharmacies, ambulatory surgery centers, clinical laboratories and...you will work cross-functionally to solve problems by performing analysis , recommending solutions, and building analytic products to enable… more
- Humana (Hallandale Beach, FL)
- **Become a part of our caring community and help us put health first** Are you a transitioning military service member or a Military Spouse looking for an internship ... that supports the goal to put health first? During the period of this unpaid internship,...work with Humana's Medicaid Team for the Applied Behavioral Analysis , (ABA) contract requirements. During the internship you will… more