• Human Services Analyst

    MyFlorida (Fort Pierce, FL)
    HUMAN SERVICES ANALYST - 64001160 Date: Aug 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 859523 Agency: Department of Health Working Title: HUMAN SERVICES ANALYST - 64001160 Pay Plan: Career Service Position Number: 64001160 Salary:… more
    MyFlorida (08/26/25)
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  • Senior Reimbursement Analyst - Cost…

    BayCare Health System (Clearwater, FL)
    …responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility while ... position is responsible for government payer reimbursement related to Medicare, Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare Cost… more
    BayCare Health System (08/09/25)
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  • Compliance Analyst Principal - Remote

    Prime Therapeutics (Tallahassee, FL)
    …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's… more
    Prime Therapeutics (07/07/25)
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  • Risk Adjustment Audit Operations Analyst

    Molina Healthcare (St. Petersburg, FL)
    **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or… more
    Molina Healthcare (08/08/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (FL)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina...of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans +… more
    Molina Healthcare (08/31/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Tallahassee, FL)
    …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical… more
    Prime Therapeutics (07/25/25)
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  • Eligibility Analyst

    Prime Therapeutics (Tallahassee, FL)
    …passion and drives every decision we make. **Job Posting Title** Eligibility Analyst **Job Description** The Eligibility Analyst is responsible for representing ... + Participates in peak season planning and execution + May manage Medicaid subrogation activities including monitoring batch claim files, outgoing eligibility files,… more
    Prime Therapeutics (09/05/25)
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  • Claim Technical Analyst - JUDI Ops Team…

    Prime Therapeutics (Tallahassee, FL)
    …our passion and drives every decision we make. **Job Posting Title** Claim Technical Analyst - JUDI Ops Team - Remote **Job Description** The Claims Technical ... Analyst is responsible for serving as the claims analysis...with Medicare Part D and Centers for Medicare and Medicaid Services rules and regulations + 1 year of… more
    Prime Therapeutics (09/05/25)
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  • Reconciliation Analyst

    Convey Health Solutions (Fort Lauderdale, FL)
    Job Description The Reconciliation Analyst is responsible for the timely and accurate resolution of discrepancies identified in the reconciliation processes. The ... analyst will review documentation, work items in queues and...submissions + Working understanding of Centers for Medicare & Medicaid Services (CMS) guidance + Conform with and abide… more
    Convey Health Solutions (09/03/25)
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  • Human Services Program Analyst

    MyFlorida (Fort Pierce, FL)
    HUMAN SERVICES PROGRAM ANALYST - 64082329 Date: Aug 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 859911 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM ANALYST - 64082329 Pay Plan: Career Service Position Number: 64082329 Salary:… more
    MyFlorida (08/29/25)
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