- AdventHealth (Maitland, FL)
- …Governmental (Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all ... + The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and coding for… more
- AdventHealth (Maitland, FL)
- …to complete extensive and complex financial and operational analyses of managed care contracts and proposals, analyze fee schedules, and determine contract ... player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care...will bring to the team:** + Researches and analyzes managed care data from various financial… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …a great mission and culture? Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care )!_ Devereux provides mental and behavioral ... **Description** _Are you a Contracts and Managed Care Professional looking for a...workers - the career guidance, one-on-one coaching, skills and financial assistance you need to reach your full potential.… more
- MyFlorida (Tallahassee, FL)
- …to Agency staff and contracted entities on work related to State Medicaid managed care plans, capitation rates, financial analysis/projections. *Serve as ... 68064839 - SENIOR DATA BASE ANALYST Date: Aug 29, 2025 The State Personnel...care services and costs, and is vital to managed care rate setting, health care… more
- Molina Healthcare (Tampa, FL)
- …years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- AdventHealth (Altamonte Springs, FL)
- …are being spent to close the most critical gaps in lowering the cost of care . The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain ... **Health Plan Data Analyst ** **AdventHealth PHSO Resources** **All the benefits and...focused on lowering the cost of healthcare for our managed populations by providing actionable data to the Population… more
- Molina Healthcare (FL)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst - Remote **Job Description** The Enterprise Risk Management Analyst ... **Responsibilities** + Support the identification of potential risks across operational, financial , regulatory and strategic domains + Assist in conducting risk… more
- CVS Health (Miramar, FL)
- …changing environment + Effective communication skills, both verbal and written + Managed Care experience + Computer proficiency in Microsoft Word, Excel, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Miami, FL)
- …in health insurance, healthcare services, or client/account management. + Familiarity with managed care processes, healthcare sales, or pharmacy benefits. + ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** The Senior Analyst , Account Manager at CVS Health, you will play… more