- Independent Living Systems (Miami, FL)
- …them into actionable project plans. The Senior Business Analyst will lead initiatives that drive data -driven decision-making and support the implementation ... We are seeking a Senior Business Analyst to join our team at Independent Living...knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (ie Per Diem, PPS,… more
- Molina Healthcare (FL)
- …Effectively uses current and emerging technologies. This position will be focused on Medicare Stars requirements and data review. Please make sure to include ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… more
- Molina Healthcare (Orlando, FL)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... lead level support as a highly capable business analyst who serves as a key strategic partner in...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… more
- Molina Healthcare (FL)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking...related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP * Develops custom health plan reports related to… more
- Elevance Health (FL)
- …to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data ... **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid...to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make… more
- Molina Healthcare (Tampa, FL)
- … mining, verification, scrubbing, and root cause analysis. + Do root cause analysis for business data issues as assigned by the team lead . + Analyze data ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Molina Healthcare (FL)
- …to management + Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- University of Miami (Miami, FL)
- …System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr. Analyst - Quality and Population Health. The Epic Sr. Analyst - Quality ... tickets, identification and implementation of application changes, retrieval of requested data , and execution of day-to-day operations. + Collaborates with trainers… more
- BayCare Health System (Clearwater, FL)
- …mission-driven environment. **Your Role Within the Team:** + Analyze government reimbursement data and develop strategies for Medicare /Medicaid Cost Reports + ... Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management Analyst plays a key role in BayCare's Reimbursement department, specializing in… more
- AdventHealth (Maitland, FL)
- …skills Highly organized and efficient with time and resources Ability to manage and summarize data in a meaningful way Ability to lead and coordinate projects in ... for Florida and multi-state hospital providers, with a concentration on Medicare , state specific Medicaid, non-contracted payers, and Tricare. Consults with key… more
