- Elevance Health (Tampa, FL)
- ** Business Information Analyst Senior - Medicaid Encounters Data** The ** Business Information Analyst Senior ** is responsible for analyzing ... validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote ... **Job Description** The IT Business Systems Analyst (BSA) Sr is responsible...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr is also… more
- Humana (Tallahassee, FL)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... operations, and other business teams involved in the administration of Medicaid business at Humana. The Senior Business Intelligence Engineer will… more
- AdventHealth (Maitland, FL)
- …Governmental (Medicare, Medicaid , Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all ... **Job Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to… more
- Molina Healthcare (St. Petersburg, FL)
- … needs. Performs analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- BayCare Health System (Clearwater, FL)
- …Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst - Cost Reporting **Location** Clearwater | Business and ... trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their… 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 ... key business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- CVS Health (Jacksonville, FL)
- …data analytics, file preparation, and provider roster loads to support business functions including Request for Proposal (RFP) submissions. Primary responsibilities ... are QuickBase development/maintenance, translation of business requirements into actionable reports and ensuring data accuracy. Other key activities include project… more
- CVS Health (Tallahassee, FL)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE +… more
- CVS Health (Tallahassee, FL)
- …sound data presentation * Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the ... to multiple internal and external stakeholders **Preferred Qualifications** * Medicaid and/or Medicare managed care experience **Education** * Master's degree… more