- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep… more
- CVS Health (Tallahassee, FL)
- …all with heart, each and every day. **Position Summary** The **Revenue Cycle Analyst ** reports directly to the Senior Manager, Reimbursements Concepts, Inc ( _RCI_ ... of Home Infusion, DME ( _Durable Medical Equipment_ ) and/or Specialty Pharmacy billing. + Excellent customer service skills. + Experience with medical billing… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical… more
- Norstella (Tallahassee, FL)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... and business questions. + And other duties as assigned **Qualifications:** + Pharmacy (PharmD) or Medicine (MD/DO) degree. + Experience working with and querying… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical… more
- AssistRx (Maitland, FL)
- The Senior Data Systems Analyst is responsible for leading the onboarding of electronic data trading partners and the success of trading partner implementations. ... Salesforce, Snowflake + Other skills: + Experience with healthcare and/or pharmacy data is preferred. + Previous client-facing experience Benefits + Supportive,… more
- Cardinal Health (Tallahassee, FL)
- …up) familiarity preferred + General knowledge of EDI + Experience with healthcare or pharmacy workflows or IT software, preferred + Experience with EMR / EHR, ... pharmacy management software, and/or healthcare billing software, preferred + Ability to communicate free of technical language to the business and end-user +… more
- Centene Corporation (Pembroke Pines, FL)
- …data collection, validation and outcome measurement. + May include: + Financial, pharmacy , claims, provider, and member data. + IRS, CMS, HHSC, HEDIS reporting. ... + Internal data cleansing and data reconciliation analysis. + Trend analysis in various functional areas of health care management. + Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to core… more
- Molina Healthcare (St. Petersburg, FL)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Position Summary** The Specialty Pharmacy Off-Phone Audit Manager leads the internal audit function for CVS Specialty's ... to develop and implement the annual audit plan for pharmacy task functions including intake, benefits verification, order scheduling,...Ability to be a mentor to less experienced Business Analyst and team members to drive compliance for best… more