- 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
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- BayCare Health System (Clearwater, FL)
- …Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management Analyst plays a key role in BayCare's Reimbursement department, specializing in ... the Team:** + Analyze government reimbursement data and develop strategies for Medicare /Medicaid Cost Reports + Prepare and review annual cost reports and ensure… more
- University of Miami (Miami, FL)
- …at the University of Miami has an exciting opportunity for a Quality Management Analyst 2. CORE JOB SUMMARYThe Quality Management Analyst 2 performs complex ... monitored and published by external regulatory agencies, ie, Centers for Medicare and Medicaid Services, Hospital Compare and Physician Compare. Collaborates closely… more
- CenterWell (Tallahassee, FL)
- …and procedures. Humana is seeking an experienced Informaticist 2 / Data Analyst to support its medication adherence initiatives. This role is responsible for ... generate reports, and present actionable insights to support key initiatives-including Medicare and Medicaid programs, trend management efforts, and other strategic… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- University of Miami (Miami, FL)
- …& Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent conducts highly complex analysis while leading the ... the mandates by state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that… more
- CVS Health (Tallahassee, FL)
- …data analysis to strategize and achieve operational targets for NCQA HEDIS and Medicare Stars * Provide analysis support for PIP reports to regulators, including ... internal and external stakeholders **Preferred Qualifications** * Medicaid and/or Medicare managed care experience **Education** * Master's degree or equivalent… more
- Molina Healthcare (Tampa, FL)
- …and set up complicated proof of concept tests without needing mentoring + Eg, Medicare Exclusion POC + Acts as a team lead, assigning and prioritizing work for ... other team members as needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-6 Years **Preferred Education** Graduate Degree or equivalent experience **Preferred… more
- CVS Health (Tallahassee, FL)
- …Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or ... equivalent experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the… more