- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst ... Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP)… more
- Public Consulting Group (Tallahassee, FL)
- …more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant ... background in data science, healthcare analytics, and a deep understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and… more
- Humana (Tallahassee, FL)
- …claims operations, and other business teams involved in the administration of Medicaid business at Humana. The Senior Business Intelligence Engineer will ... development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Senior Risk Management Professional identifies and analyzes potential sources of loss to ... minimize risk. The Senior Risk Management Professional work assignments involve...implements controls and cost-effective approaches to minimize risk of Medicaid operations within Humana's Payment Integrity Unit. Assesses and… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Value Based Market Support Senior Professional is responsible for providing comprehensive market support across ... Responsible for end to end market support for assigned Medicaid markets to ensure markets achieve their VBP contract...+ Consult with market on VBP strategy to ensure compliance with contractual requirements and market goals + Provide… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Senior Data & Reporting Professional tests the overall network in each county of ... to ensure the network is strong enough to support serving customers. The Senior Network Adequacy Professional work assignments involve moderately complex to… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Senior IT Procurement Professional establishes and implements the onboarding of IT Contingent ... assessments, consolidating the IT supply base, alongside run-the-business initiatives). The Senior IT Procurement Professional generates and implements efficient… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Senior Associate Benefits Professional applies forward-looking, innovative thought to strategy, ... the company as an employer-of-choice in the present and future. The Senior Associate Benefits Professional work assignments involve moderately complex to… more
- Humana (Tallahassee, FL)
- …first** Job Description Summary Humana Finance Organization is seeking a Senior Technology Implementation Professional to provide system implementation and ... systems functionalities or provided resolutions to resolve issues. The Senior Technology Implementation Professional delivers new technological solutions… more
- Humana (Stuart, FL)
- …our caring community and help us put health first** The Quality Improvement Senior Clinical Professional (RN) is responsible for the development, implementation ... Beach, Stuart, Jupiter - Treasure Coast/Palm Beach Market). The Quality Improvement Senior Clinical Professional (RN) develops programs designed to increase the… more