- AdventHealth (Maitland, FL)
- …Governmental (Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all ... revenue targets developed by the Regional Managed Care Directors and Contract negotiators. ** Support -10%** +...Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies,… 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...development and review of the annual Managed care net revenue budgets to support the… more
- MyFlorida (Tallahassee, FL)
- MEDICAL HEALTH CARE PROGRAM ANALYST - 65000523 Date:...+ Must maintain a working knowledge of Statewide Medicaid Managed Care Long Term Care ... . Requisition No: 858370 Agency: Elder Affairs Working Title: MEDICAL HEALTH CARE PROGRAM ANALYST - 65000523 Pay Plan: Career Service Position… more
- Intermountain Health (Tallahassee, FL)
- …workforce scheduling, time and attendance, customer relationship management) The Principal analyst is responsible for providing overseeing technical support , ... applications and their technologies throughout their lifecycle (eg, selection, implementation, support , archival and decommissioning). The Principal analyst will… more
- AdventHealth (Altamonte Springs, FL)
- …are being spent to close the most critical gaps in lowering the cost of care . The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain ... **Health Plan Data Analyst ** **AdventHealth PHSO Resources** **All the benefits and...Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- MyFlorida (Tallahassee, FL)
- …Division of Medical Quality Assurance Bureau of Operations, Operational Support Services Government Analyst II - Team Lead ... GOVERNMENT ANALYST II - 64081770 1 Date: Jul 24,...three contract managers in the Bureau of Operations, Operational Support Services Unit in the Division of Medical Quality… more
- Evolent (Tallahassee, FL)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is… more
- Molina Healthcare (Jacksonville, FL)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and...medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- Molina Healthcare (FL)
- …for Medicaid, Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's...cleaning of data + 3-5 years of experience in Managed Care Organization executing similar techno functional… more
- Intermountain Health (Tallahassee, FL)
- …collaborates with revenue producing departments, business office, revenue practice teams, HIM, managed care , and compliance constituents on related charge master ... **Job Description:** The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules,… more