- Molina Healthcare (Orlando, FL)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Prime Therapeutics (Tallahassee, FL)
- …and assumptions to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments ... Provide work plan and detailed estimate based on scope; lead scope management, prioritization and drive scope trade off...within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Molina Healthcare (FL)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and...various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations *… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists Associate Epic Analysts on the ... to optimize the application's configuration, function, and access. The Epic Analyst 2 facilitates day-to-day application support and resolving application issues and… more
- Molina Healthcare (St. Petersburg, FL)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
- CVS Health (Tallahassee, FL)
- …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- AdventHealth (Maitland, FL)
- …component data into designated contract management system being mindful of regulatory changes that impact estimated reimbursement. Ensures thorough research and ... validation of non-contracted and government payer information * including regulatory and interim rate updates in relevant programs for Midwest, Southeast, Southwest,… more