• IT Business Systems Analyst Sr…

    Prime Therapeutics (Tallahassee, FL)
    …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The ... IT Business Systems Analyst (BSA) Sr is responsible for serving as a...Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges along with regulatory compliance requirements (HIPAA… more
    Prime Therapeutics (08/27/25)
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  • Business Information Analyst Senior…

    Elevance Health (Tampa, FL)
    **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data,… more
    Elevance Health (08/26/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
    Humana (08/14/25)
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  • Senior Actuarial Analyst ( Medicaid

    Molina Healthcare (Tampa, FL)
    …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score… more
    Molina Healthcare (08/01/25)
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  • Senior Data Base Analyst

    MyFlorida (Tallahassee, FL)
    68064839 - SENIOR DATA BASE ANALYST Date: Aug 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... for Health Care Administration Working Title: 68064839 - SENIOR DATA BASE ANALYST Pay Plan: Career Service Position Number: 68064839 Salary: $1,945.56 - $2,900.00… more
    MyFlorida (08/30/25)
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  • Senior Data Base Analyst

    MyFlorida (Tallahassee, FL)
    68064228 - SENIOR DATA BASE ANALYST Date: Aug 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... for Health Care Administration Working Title: 68064228 - SENIOR DATA BASE ANALYST Pay Plan: Career Service Position Number: 68064228 Salary: $1,945.56 - $2,884.61… more
    MyFlorida (08/30/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    68060627 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68060627 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68060627 Salary: $1,833.39 -… more
    MyFlorida (09/02/25)
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  • Lead Analyst , Payment Integrity

    Molina Healthcare (Tampa, FL)
    …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
    Molina Healthcare (08/20/25)
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  • Lead Analyst , Configuration Oversight…

    Molina Healthcare (St. Petersburg, FL)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations ... and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and… more
    Molina Healthcare (07/24/25)
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  • Senior Compliance Analyst

    AdventHealth (Maitland, FL)
    …: Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and ... to support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and Governmental (Medicare, … more
    AdventHealth (08/07/25)
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