- Molina Healthcare (Jacksonville, FL)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare… more
- Molina Healthcare (Orlando, FL)
- …etc. **PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare , Medicaid , Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment ... **Job Description** **Job Summary** Assist business teams with developing requirements for major projects...+ Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to… more
- Molina Healthcare (St. Petersburg, FL)
- …+ Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...senior analysts. + Document data sourcing steps, methodologies, and business rules to promote traceability and team learning. +… more
- Humana (Tallahassee, FL)
- …actuarial and business needs for specific product lines. The Actuarial Analyst 2, General work assignments are varied and frequently require interpretation and ... community and help us put health first** The Actuarial Analyst 2, General provides actuarial support across a broad...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Prime Therapeutics (Tallahassee, FL)
- …a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance… more
- BayCare Health System (Clearwater, FL)
- …Within the Team:** + Analyze government reimbursement data and develop strategies for Medicare / Medicaid Cost Reports + Prepare and review annual cost reports and ... **Position** Revenue Management Analyst Sr **Location** Clearwater:BayCare Sys Office West | Business and Administrative | Full Time **Req ID** 106520 more
- University of Miami (Miami, FL)
- …are monitored and published by external regulatory agencies, ie, Centers for Medicare and Medicaid Services, Hospital Compare and Physician Compare. Collaborates ... at the University of Miami has an exciting opportunity for a Quality Management Analyst 2. CORE JOB SUMMARYThe Quality Management Analyst 2 performs complex… more
- University of Miami (Miami, FL)
- …the mandates by state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth ... & Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent conducts highly complex analysis while leading the… more
- CVS Health (Tallahassee, FL)
- …communicate to multiple internal and external stakeholders **Preferred Qualifications** * Medicaid and/or Medicare managed care experience **Education** * ... sound data presentation * Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the… more