- Actalent (Orlando, FL)
- Medicare Coverage Analyst (MCA)-Clinical Research Medicare Coverage Analyst (MCA) for a remote 6-month contract role with potential for extension Role ... Highlights: + Conduct Medicare Coverage Analysis for clinical trials + Interpret protocols...research billing or coverage analysis + Strong knowledge of Medicare regulations and CTMS/EMR systems + High aptitude in… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment… more
- University of Miami (Coral Gables, FL)
- …work at the University of Miami. CORE JOB SUMMARY The Contracts and Grants Analyst 1 ( Medicare Billing Coding & Financial) works independently to review ... including agreements and proposals, as required for development of Medicare Coverage Analysis (MCA), facilitating research billing, financial compliance and… more
- Molina Healthcare (Jacksonville, FL)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- AdventHealth (Maitland, FL)
- … Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance ... : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and… more
- 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
- BayCare Health System (Clearwater, FL)
- …responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility while ... This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare… more
- 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...Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements… more
- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing… more
- 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