- MyFlorida (Tallahassee, FL)
- …specifically through audits and investigations of healthcare providers, including managed care plans. This OPS Government Analyst II position will support ... the Bureau's responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care Oversight. MPI operates with dynamic and fast-paced… more
- MyFlorida (Tallahassee, FL)
- …the Bureau's responsibility: Operations, Data Detection, Investigations, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic and ... 68039493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Dec 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify… more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Cost of Care /Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration… 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** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and… 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)
- …1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... development of policy language for: Medicaid contracts and amendments, Medicaid managed care report guides, contract interpretations, policy transmittals, and… more
- CVS Health (Tallahassee, FL)
- …mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna policies and procedures * Works ... includes navigating multiple systems and keyboarding. **Preferred Qualifications** * Previous Managed Care experience. * Psychology or Social Services… more
- MyFlorida (Tallahassee, FL)
- …into the program, Medicaid recipients receive proper coverage, enrollment into managed care plans; extracting, analyzing, and/or reporting Medicaid data; ... 68900198 - OPS HUMAN SERVICES ANALYST Date: Dec 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Advanced clinical training or certifications + Previous clinical experience in a managed care , pharmaceutical, or PBM environment + Experience working with ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Business Application Analyst Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote Position Type Full ... 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… more