- Prime Therapeutics (Tallahassee, FL)
- …drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst Senior - Remote **Job Description** The Senior Enterprise Risk Management ... (ERM) Analyst is responsible for leading the organization's risk management...Strategy and Risk Committee of the Board. **Responsibilities** + Support the development, implementation, and ongoing maintenance of ERM… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst - Remote **Job Description** The Enterprise Risk Management Analyst ... ensure compliance with regulations and industry standards. **Responsibilities** + Support the identification of potential risks across operational, financial,… more
- CVS Health (Largo, FL)
- …in health insurance, healthcare services, or client/account management. + Familiarity with managed care processes, healthcare sales, or pharmacy benefits. + ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** The Benefits Analyst , Account Manager at CVS Health, you will play… more
- The Cigna Group (Sunrise, FL)
- …+ Experience in developing and managing relationships + Understanding and experience with managed care , and provider business models a plus + Team player ... the office or visit Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and reports to… more
- Molina Healthcare (St. Petersburg, FL)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment...highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations teams in… more
- Mass Markets (FL)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring ... we offer a variety of benefits and incentives to support and reward our team members. What You Can...the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
- CVS Health (Tallahassee, FL)
- …activities on performance **Required Qualifications** * At least 5 years experience in managed care , hospital, or similar healthcare environment * Must have ... internal and external stakeholders **Preferred Qualifications** * Medicaid and/or Medicare managed care experience **Education** * Master's degree or equivalent… 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 ... teams in developing the strategic approach for innovative and in-demand value-based care pursuits. + Support the development of capitated risk partnerships,… more
- CVS Health (Apollo Beach, FL)
- …changing environment. - Effective communication skills, both verbal and written. - Managed Care experience. - Computer proficiency in Microsoft Word, Excel, ... in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care … more
- Molina Healthcare (FL)
- …years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or equivalent combination of ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
Recent Jobs
-
School Nurse
- Fedcap (West Orange, NJ)
-
Clinical Nurse Specialist or Intern CNS- Critical Care I
- Cleveland Clinic (Akron, OH)
-
GT Services Sales, Mission Critical Markets (Remote)
- Siemens Energy (Raleigh, NC)
-
Special Education Teacher
- Amergis (Washington, DC)