- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial ... for users other than those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial,… 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
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ... design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role...support in complex projects that are highly visible to senior leadership and across the organization. **Responsibilities** + Own,… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The ... Senior Compliance Analyst assists in the implementation of Prime's compliance programs...is dedicated to the government program compliance in the Medicare , Medicaid, and the Affordable Care Act (ACA) spaces.… 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...ability to leverage data and analytic skills to create business intelligence-identifying risks to be mitigated or opportunities to… more
- ChenMed (Miami, FL)
- …rapidly expanding and we need great people to join our team. The Senior Analyst , RCM (Revenue Cycle Management) Optimization will perform extensive quantitative ... and qualitative analysis to support business decision making and revenue improvement. The incumbent will...(KPIs) for assigned RCM functions, preparing regular reports for senior leadership. + Leads change management efforts for new… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
- CHS (Clearwater, FL)
- **Overview** Senior Quality Analyst Location: 6021 142nd Ave N, Clearwater, FL 33760 (Remote Possible) Employment Type: Full-time, Permanent (40 hours/week) ... HIPAA, CMS, AHCA, NAIC, OIG, URAC, DHEC, Medicaid, and Medicare is beneficial but not required. A strong logical...that address all possible scenarios based on technical and business requirements - Tests data validations that are embedded… more
- CVS Health (Tallahassee, FL)
- …**Key Responsibilities** : + Drafting and reviewing product filings: Draft Medicare Supplement and short-term limited duration health insurance products (policies, ... Stay abreast of changes in state and federal regulations related to Medicare supplement insurance. + Record Keeping: Maintain accurate records of product filings… more