- 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
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** + Candidate must reside in Florida (FL) + 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... + National Committee for Quality Assurance (NCQA) accreditation experience + Medicaid managed care experience **Education** + Bachelor's Degree OR equivalent… 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 (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
- HCA Healthcare (Ocala, FL)
- …Qualifications** Seeking a Contract Analyst , who is responsible for translating managed care terms and model relevant parameters in Concuity/Clear Contracts ... an organization that invests in you as a Contract Analyst ? At Parallon, you come first. HCA Healthcare has...**What you will do in this role:** + Model managed care contracts through the Concuity Calc… 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
- 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
- Healthfirst (FL)
- …working within a Healthcare industry (such as commercial insurance plans, hospital, managed long-term care or government programs). + Familiarity with healthcare ... peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for… more