- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion 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...Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid , the Exchanges along with regulatory… more
- 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… 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 ... complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new states. The business … more
- Molina Healthcare (Tampa, FL)
- …synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid , and Marketplace lines of business . + Certified ... Summary** Provides lead level support as a highly capable business analyst who serves as a key...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State… more
- AdventHealth (Maitland, FL)
- …Compliance Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid , Tricare) payer reimbursement language and methodologies. The ... : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and… more
- BayCare Health System (Clearwater, FL)
- …+ This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual ... remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst - Cost Reporting **Location** Clearwater | Business and… more
- Prime Therapeutics (Tallahassee, FL)
- …regulatory change process + Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as ... Benefit Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be… more
- Molina Healthcare (St. Petersburg, FL)
- …business needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- MyFlorida (Fort Pierce, FL)
- …that any applicable hierarchy of payer sources is used appropriately. Screens for Medicaid eligibility, PAC Waiver eligibility, Medicare A, B, and D eligibility. ... HUMAN SERVICES ANALYST - 64001160 Date: Aug 25, 2025 The...programs (PAP), benefits/health coverage programs such as SSI, SSDI, Medicaid , Medicare , housing programs, etc. Coordinating, referring,… more
- Prime Therapeutics (Tallahassee, FL)
- …Benefit Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description**...related area of study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care… more