- Molina Healthcare (Miami, FL)
- …with operations leadership and Plan Support functions to review compliance -based issues for benefit planning purposes. **KNOWLEDGE/SKILLS/ABILITIES** + Maintains ... + Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). +… more
- Humana (Tallahassee, FL)
- …strong selling and presentation skills (oral and written) + Healthcare and Medicare experience + Experience facilitating with mixed teams, and indirect matrix teams ... in Healthcare systems + Experience in user provisioning + EPIC analyst certification/accreditations as they related to business functions (utilization management,… more
- Humana (Tallahassee, FL)
- …of action. The In-Home Health and Wellbeing assessment team is seeking a Business Analyst who is adept in data analytics and possesses a keen eye for monitoring ... **Preferred Qualifications** + Bachelor's degree in business administration/information systems + Medicare Risk Adjustment background and knowledge. + 1 or more… more
- Humana (Fort Lauderdale, FL)
- …and NCQA accreditations). The leader may be a data scientist, financial analyst , economist, or other analytical professional; though experience in Medicaid or ... Value-Based Payment (VBP) strategy, audits, and NCQA accreditation. + Ensure compliance with Medicaid requirements and regulatory standards. + Drive continuous… more
- Humana (Tallahassee, FL)
- …the following: + Master's degree AND Board-Certified Behavioral Analysis + Licensed Behavior Analyst (LBA) in the state of Kentucky and Virginia or are willing to ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more