- Humana (Tampa, FL)
- …caring community and help us put health first** The Vice President, Medicaid Clinical Economics & Quality provides strategic and operational leadership for clinical ... effectiveness within the Medicaid segment. This function integrates Medical Economics, Clinical Insights, and Quality to deliver improved health outcomes, optimized… more
- Prime Therapeutics (Tallahassee, FL)
- …future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** The Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs...which may include validating compliance gap closures throughout the business , partnering to facilitate company-wide Compliance Risk Assessment, and… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... launch and beyond, focusing on balancing customer needs with business goals. + Consults with business areas...legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated… more
- Molina Healthcare (FL)
- …Medical Record Review tracking, Interventions tracking for at least one line of business among Medicaid , Marketplace and Medicare/MMP. + 3+ Years of experience ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...as well as Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. + Analysis and reporting related… more
- Molina Healthcare (Jacksonville, 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
- 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
- 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_ ... 3+ years of experience in healthcare. + Working knowledge of Medicare, Medicaid and Third-Party Insurance payers and reimbursement guidelines. + Strong competency… more