- MyFlorida (Tallahassee, FL)
- …this position is expected to report to work daily and on time. This Medical Health Care Program Analyst position will support the fraud and abuse prevention ... 68039493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Dec 4,...Bureau's responsibility: Operations, Data Detection, Investigations, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… more
- Elevance Health (Tampa, FL)
- …is granted as required by law. The **Cost of Care /Provider Contracting Data Analyst Senior** is responsible for providing analytical support to the Cost of ... **Cost of Care /Provider Contracting Data Analyst Senior** **Location:**...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Elevance Health (Lake Mary, FL)
- …is granted as required by law. The **Cost of Care /Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care ... **Cost of Care /Provider Contracting Data Analyst ** **Location** :...field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable… more
- MyFlorida (Tallahassee, FL)
- …of healthcare providers, including managed care plans. This OPS Government Analyst II position will support these efforts. MPI is organized by the ... the Bureau's responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care Oversight. MPI operates with dynamic and fast-paced… 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
- 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
- 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
- Prime Therapeutics (Tallahassee, FL)
- …+ Advanced clinical training or certifications + Previous clinical experience in a managed care , pharmaceutical, or PBM environment + Experience working with ... reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the Integrated Care & Specialty,… more
- The Cigna Group (Tallahassee, FL)
- … care professional experience cost-effectively. **Duties and Responsibilities** + Support the overall dental HCP communication strategy, ensuring that it delivers ... preferred. Also open to someone with equivalent experience. + 5+ years of managed health care experience in communications. Dental experience strongly preferred.… more
- Prime Therapeutics (Tallahassee, FL)
- …projects simultaneously. + Strong analytical skills **Preferred Qualifications** + Pharmacy services, PBM, managed care or health care industry experience + ... 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** Senior Compliance Analyst - Remote **Job Description** The Senior Compliance … more