- Elevance Health (Tampa, FL)
- **Provider Contract Cost of Care Analyst...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... unless an accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of… 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,...and federal law, as well as the provisions of contract and Medicaid policy. This selected candidate will be… 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** :...develop contracting strategy and supports all aspects of the contract negotiation process. + Can work with multiple provider… 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)
- …the development of policy language for: Medicaid contracts and amendments, Medicaid managed care report guides, contract interpretations, policy ... 1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review… 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
- Molina Healthcare (Tampa, FL)
- …scrubbing, scrapping, and cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...standards. *Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. *Recommends, schedules… more
- Molina Healthcare (St. Petersburg, FL)
- …managed care operations. * Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider ... information management, claims processing and other related functions. **Preferred Education** Bachelor's Degree **Preferred Experience** * Six years proven analytical experience within an operations or process-focused environment. * Previous audit and/or… more
- Evolent (Tallahassee, FL)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Highmark Health (Tallahassee, FL)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance… more