- AdventHealth (Maitland, FL)
- …(Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all AH ... diploma or equivalent + The Senior Compliance Analyst role requires extensive knowledge in Managed ...Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies,… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft… more
- Molina Healthcare (FL)
- …for Medicaid, Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's...cleaning of data + 3-5 years of experience in Managed Care Organization executing similar techno functional… more
- AdventHealth (Maitland, FL)
- …trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both in ... office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for...financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The… more
- Molina Healthcare (Miami, FL)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- RTX Corporation (Largo, FL)
- …for a security clearance **Security Clearance:** DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace This position is Onsite and does not offer ... + Doctor on Demand, virtual doctor visits + Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program + And more! **Learn More… more
- Intermountain Health (Tallahassee, FL)
- …pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient ... scheduling, time and attendance, customer relationship management) The Principal analyst is responsible for providing overseeing technical support, configuration,… more
- AdventHealth (Altamonte Springs, FL)
- …providing actionable data to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders, leaders, health plans, ... spent to close the most critical gaps in lowering the cost of care . The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain insights into… more
- Evolent (Tallahassee, FL)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst , Scope Management** The Specialty… more
- Banner Health (FL)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue...to interpretation of coding guidelines prior to referral to senior manager, educator or Coding Quality Analyst .… more