• Lead Analyst , Claims/ Regulatory…

    Molina Healthcare (Jacksonville, FL)
    …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience ... data among operational and claims systems and application of business rules as they apply to each database. Validate...to be housed on databases and ensure adherence to business and system requirements of customers as it pertains… more
    Molina Healthcare (06/18/25)
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  • Senior Analyst , Special Investigative Unit

    CVS Health (Tallahassee, FL)
    …+ Pharmacy Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in ... tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE +… more
    CVS Health (08/24/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (St. Petersburg, FL)
    …synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid , and Marketplace lines of business . + Certified ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State...+ At least 7 years of experience as a Business Analyst or Program Manager in a… more
    Molina Healthcare (08/14/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (FL)
    …to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid , and Marketplace lines of business . + PMP, Certified ... + At least 7 years of experience as a Business Analyst or Program Manager in a...experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning… more
    Molina Healthcare (08/14/25)
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