- MyFlorida (Tallahassee, FL)
- …eligibility for participation in supplemental payment programs. Coordinate data transfers between Florida managed care plans and the Agency for Health Care ... 68064297 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jan 8,...and projects Florida's $33.8 billion Medicaid Services budget, oversees financial reporting of the Agency's contracted Medicaid health plans,… more
- Elevance Health (Lake Mary, FL)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... as required by law. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst ** **Location** :...+ Educates provider contractors on contracting analytics from a financial impact perspective. + May recommend alternative contract language… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more
- MyFlorida (Tallahassee, FL)
- …of Florida's Medicaid program to federal and state agencies, Medicaid recipients, Medicaid managed care plans, and providers. The Bureau of Medicaid Quality has ... or other healthcare systems. *Knowledge of practical social services, public health, or managed care . *Skilled in reviewing and analyzing reports related to… more
- Molina Healthcare (Miami, FL)
- …health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified ... disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care financial terms (eg, PMPM, revenue) and different standard code… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Actuarial Analyst 1, Analytics/Forecasting analyzes and forecasts financial , economic, and other data ... and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 1, Analytics/Forecasting… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …we're more than a pharmacy - we're a dedicated partner in care , transforming how patients experience long-term, post-acute, correctional, PACE, and specialty ... we're raising the bar for quality and coordination across all sites of care , ensuring every patient receives seamless, compassionate, and expert support. Founded in… more
- Molina Healthcare (FL)
- …for Medicaid, Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates + ... **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's...of data. + 1-3 years of experience in a Managed Care Organization executing similar techno functional… more
- Elevance Health (Miami, FL)
- …manner which expounds upon the business units' capabilities with respect to product design, managed care programs, financial strategies, etc. + Develops and ... **Proposal Development Analyst Sr** **Location:** This role requires associates to...+match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health… more