- BayCare Health System (Clearwater, FL)
- …mission-driven team.** Equal Opportunity Employer Veterans/Disabled **Position** Revenue Management Analyst Sr **Location** Clearwater:BayCare Sys Office West | ... FL (Hybrid) | Full-Time | Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management Analyst plays a key role in BayCare's Reimbursement… more
- Molina Healthcare (Tampa, FL)
- … Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various ... and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting. + Extract and compile information from various systems to… more
- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial /Accounting Analyst I experience desired +… 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 ... sources of data to support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and… more
- ChenMed (Miami, FL)
- …strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the opportunity for impact and advancement ... we need great people to join our team. The Senior Health Economics Analyst is responsible for...and continuously improve data-driven strategies and processes to improve financial results. + Partners with finance and business leaders… 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 ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Elevance Health (Tampa, FL)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior ** is responsible for analyzing and ... validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of… more
- CVS Health (Tallahassee, FL)
- …data analysis to strategize and achieve operational targets for NCQA HEDIS and Medicare Stars * Provide analysis support for PIP reports to regulators, including ... internal and external stakeholders **Preferred Qualifications** * Medicaid and/or Medicare managed care experience **Education** * Master's degree or equivalent… 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 ... Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or… more
- CenterWell (Tallahassee, FL)
- …interventions. The Informaticist 2 also plays a critical role in advancing financial modeling approaches by integrating business context and strategic insights. This ... and procedures. Humana is seeking an experienced Informaticist 2 / Data Analyst to support its medication adherence initiatives. This role is responsible for… more