- Elevance Health (FL)
- …and quality of life through home-care and community based services. **Medical Coding Analyst Sr.** Seeking Certified Medical Coders.** Location: **This position ... - Friday, 8 am to 5 pm.** The **Medical Coding Analyst Sr** is responsible for reviewing,...strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- Molina Healthcare (St. Petersburg, 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… more
- Molina Healthcare (FL)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), + Diagnosis Related Groups ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and other payment mechanisms. * + Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing… more
- MUFG (Tampa, FL)
- …system testing, process automation, and procedural documentation. * Familiarity with risk , internal control, and financial governance components to ensure compliance ... Account reconciliations, Suspense Account reconciliations; reviewing, providing, correcting, and coding data; conducting root cause analysis and remediation; resolving… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... preferred. Working knowledge of SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical,… more