• Senior Analyst , Operational…

    Molina Healthcare (Jacksonville, FL)
    …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
    Molina Healthcare (08/22/25)
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  • Business Information Analyst…

    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
    Elevance Health (08/26/25)
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  • Senior Compliance Analyst

    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
    AdventHealth (08/07/25)
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  • Senior Reimbursement Analyst - Cost…

    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
    BayCare Health System (08/09/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (St. Petersburg, FL)
    … needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
    Molina Healthcare (07/17/25)
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  • Senior Health Economics Analyst

    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 (07/15/25)
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  • Senior Analyst , Medical Economics…

    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 ... key business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
    Molina Healthcare (08/31/25)
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  • Senior Analyst , Quality Management

    CVS Health (Tallahassee, FL)
    …sound data presentation * Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the ... data analysis to strategize and achieve operational targets for NCQA HEDIS and Medicare Stars * Provide analysis support for PIP reports to regulators, including… more
    CVS Health (08/24/25)
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  • Senior Analyst , Special…

    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 ... tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE +… more
    CVS Health (08/24/25)
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  • IT Business Systems Analyst Sr…

    Prime Therapeutics (Tallahassee, FL)
    …fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job ... Description** The IT Business Systems Analyst (BSA) Sr is responsible...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr is also… more
    Prime Therapeutics (08/27/25)
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