- Raytheon Technologies (Seminole, FL)
- …eligible for a security clearance Security Clearance: DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace This position is Onsite and does not offer ... program Doctor on Demand, virtual doctor visits Bright Horizons, child and elder care services Teladoc Medical Experts, second opinion program And more! Learn More &… more
- AdventHealth (Maitland, FL)
- …Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing support teams… more
- Molina Healthcare (FL)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68063479 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jul 21,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… more
- AdventHealth (Maitland, FL)
- …ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both ... FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and...financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The… more
- MyFlorida (Tallahassee, FL)
- …the quality of health care in Florida. We are seeking to hire a Medical/Health Care Analyst who desires to work to enhance the delivery of health care ... 68064861 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jul 23,...the program, Medicaid recipients receive proper coverage, enrollment into managed care plans; extracting, analyzing, and/or reporting… 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 **Education** + Bachelor's Degree OR equivalent… more
- Molina Healthcare (Miami, FL)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** + 1 - 2 years' experience in Managed Care + Background in provider contracts, pricing configuration, claim ... **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider...**PREFERRED EXPERIENCE** + 3 - 5 years' experience in Managed Care + Experience researching and resolving… more
- Intermountain Health (Tallahassee, FL)
- …pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient ... scheduling, time and attendance, customer relationship management) The Principal analyst is responsible for providing overseeing technical support, configuration,… more
- MyFlorida (Miami, FL)
- …Certified Public Accountants (AICPA). Auditing and analyzing complex financials of the managed care provider including their provider network. Analyze and ... AUDIT EVALUATION & REVIEW ANALYST - 41000827 Date: Jul 21, 2025 The...interpret managed care encounter data. Communicating the results...interpret managed care encounter data. Communicating the results of your analysis… more
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