- Molina Healthcare (Orlando, 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
- Elevance Health (FL)
- ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is...complex projects related to risk adjustment analytics in the Medicare Advantage line of business . **How You… more
- Molina Healthcare (St. Petersburg, 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. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to… 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
- Molina Healthcare (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
- 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
- Molina Healthcare (Jacksonville, 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 (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
- CVS Health (Tallahassee, FL)
- …a high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business . This position will ... will: + Apply quantitative skills and analytical methods to support Part D business needs. + Foster strong technical skills by manipulating and summarizing large… more
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