- Molina Healthcare (St. Petersburg, FL)
- …be relied upon to make independent, informed decisions, contribute to health plan strategy , and act as a trusted voice in resolving complex business challenges that ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- Molina Healthcare (FL)
- …be relied upon to make independent, informed decisions, contribute to health plan strategy , and act as a trusted voice in resolving complex business challenges that ... payment integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- Molina Healthcare (Miami, FL)
- …be relied upon to make independent, informed decisions, contribute to health plan strategy , and act as a trusted voice in resolving complex business challenges that ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- Molina Healthcare (FL)
- …and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy , analytics, and reporting, including but not limited to: Risk/Quality rate ... * Familiarity with running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery of… more
- Norstella (Tallahassee, FL)
- Sr. Director, RWD Analytics and Innovation ( Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: ... datasets, piloting new analytical capabilities, harmonizing disparate data sources, and data strategy projects. This role will be pivotal in integrating diverse data… more
- CVS Health (Tallahassee, FL)
- …deep quality expertise to help teams translate quality insights into business strategy . **Responsibilities** . Assist in making business decisions based on the ... implements the infrastructure of the QM program and patient safety strategy . Directs/provides enhancements to business processes, policies, and infrastructure to… more
- WTW (Tampa, FL)
- …to Large clients' financial/actuarial engagements + Develops and delivers the financial/actuarial strategy for a portfolio of Medium and/or Large clients + Drives ... aptitude in keeping abreast of latest developments in health and welfare plan strategy and leading the development of new intellectual capital + Ability to leverage… more
- Molina Healthcare (Miami, FL)
- …articulate, interpret, and apply the principles of the defined data and analytics strategy to unique, complex business problems + Mentor development teams to build ... (REST/SOAP) **PREFERRED EDUCATION:** Master's Degree **PREFERRED EXPERIENCE:** Experience in the healthcare industry is preferred To all current Molina employees: If… more
- Molina Healthcare (Miami, FL)
- …+ Ensures alignment of architecture decisions with enterprise data strategy , governance, compliance frameworks, and platform standards. + Facilitates ... are strongly preferred. + Experience in regulated or data-sensitive industries such as healthcare , finance, or government is a plus. To all current Molina employees:… more
- Molina Healthcare (Jacksonville, FL)
- …the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and execution of CMS and internal audit activities. This position is ... discipline **Required Experience** + 3-5 Years of experience with healthcare -related data (claims/encounters, provider, CMS/EDGE response files, etc. + 3-5… more