- Centene Corporation (Tallahassee, FL)
- …external agencies preferred; Familiarity with claims data, utilization, rate setting, risk adjustment , or member eligibility and reconciliation preferred. Pay ... care and improve clinical outcomes for members. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver… more
- Molina Healthcare (Jacksonville, FL)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for… more
- Molina Healthcare (Orlando, FL)
- …directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics + ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Datavant (Tallahassee, FL)
- …reports directly to the Director of Strategic Operations. As a trusted partner to the Risk Adjustment COO and broader leadership team, you'll play a key role in ... shaping our business strategy, driving cross-functional initiatives, and improving operational efficiency....results **Bonus Points If:** + You have experience in risk adjustment coding applications and technology \#LI-BC1… more
- Citigroup (Tampa, FL)
- …Hybrid The Business Execution Lead (Data Governance Foundation Senior Lead Analyst - C14) is responsible for leading activities that contribute to the definition ... manages the entire lifecycle of metrics and report production + Appropriately assess risk when business decisions are made, demonstrating consideration for the… more
- CenterWell (Tallahassee, FL)
- …specific to cardiology, nephrology, orthopedics, and oncology + Familiarity with risk adjustment methodologies and population health analytics. + Experience ... the Primary Care Organization's total cost of care opportunities. Provides business intelligence and strategic planning support for Specialty-related initiatives or… more