- Molina Healthcare (Jacksonville, FL)
- …pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and oversight functions involving… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. *… more
- Evolent (Tallahassee, FL)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify… more
- 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 ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms… more
- AdventHealth (Maitland, FL)
- …**Job Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to ... data to support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in...and experiences you'll need to succeed:** + 3 years Healthcare , Managed Care, Hospital or Ancillary claims … more
- ChenMed (Miami, FL)
- …leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the ... we need great people to join our team. The Senior Health Economics Analyst is responsible for...prioritize opportunities, and spot trends + Extensive knowledge of healthcare /medical economics data such as hospital/physician /ASC claims… more
- Elevance Health (Tampa, FL)
- …Senior - Medicaid Encounters Data** The **Business Information Analyst Senior ** is responsible for analyzing and validating healthcare encounter data ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more
- Prime Therapeutics (Tallahassee, FL)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Analyst Pricing - Remote **Job Description** The Senior Pricing ... include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Previous experience using SQL, SAS,… more
- Elevance Health (Tampa, FL)
- ** Senior Health Economics Analyst ** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, ... NOTE: This position is not eligible for current or future VISA sponsorship._ The ** Senior Health Economics Analyst ** provides analytical support to the Cost of… more
- Highmark Health (Tallahassee, FL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more