- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. **Position Summary** A Sr. Analyst , Project Management (IC) role, reporting to the AVP of Medical and Pre- Payment ... execution of medical policy initiatives, including developing, implementing, and enforcing payment and policy rules for healthcare services. + Lead and manage… more
- GovCIO (Tallahassee, FL)
- **Overview** GovCIO is currently hiring for a Senior Computer Systems Analyst with an active Secret clearance. This position will be located in Sterling, ... $126,000.00 /Yr. Submit a referral to this job (https://careers-govcio.icims.com/jobs/4896/ senior -computer-systems- analyst /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834385473) **Location** _US-Remote_ **ID** _2024-4896_ **Category**… more
- CVS Health (Tallahassee, FL)
- …has an exciting opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives ... and ad-hoc client and regulatory Prompt Pay and Pharmacy Payment Compliance reporting using SQL and SAS. You will...team is highly collaborative. You will report to the Senior Reporting Manager within the PBM Finance Data, Analytics,… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that… more
- West Marine (Fort Lauderdale, FL)
- …and sharing that passion with our customers and community. Position Summary: The Senior Treasury Analyst will support all aspects of cash management, ... and financial resources. + Prepare wires with proper support for approval and payment release. + Monitor and evaluate monthly bank fees, provide trend analysis, and… more
- Molina Healthcare (Orlando, FL)
- …and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution for ... submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. + Researches and reviews MRDT issues...Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. +… more
- Molina Healthcare (Miami, FL)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... oversee vendor implementations, coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud, waste and abuse. +… more
- Molina Healthcare (Tampa, FL)
- …and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution for ... is highly preferred. + Must have knowledge on Medicare payment methods + Experience on Hospital payment ...Medicare payment methods + Experience on Hospital payment methodology & processing is essential + Understanding on… more