- Molina Healthcare (St. Petersburg, FL)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... + Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the...Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS… more
- Prime Therapeutics (Tallahassee, FL)
- …PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract language and risk mitigation concepts Every employee must ... Relations Sr Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for… more