- Independent Living Systems (Miami, FL)
- …(EHR) systems and healthcare data analytics platforms. Knowledge of healthcare quality improvement frameworks and member safety standards. Experience working ... Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable...At least 4 years of experience as a Business Analyst within the healthcare industry. Proficient knowledge… more
- Deloitte (Miami, FL)
- …accordance with established medical and legal requirements + Interact with healthcare professionals to provide report-specific feedback and assist in resolving ... / personal health information + Consistently meet individual productivity and quality goals The Team Deloitte's Government and Public Services (GPS) practice… more
- Molina Healthcare (Miami, FL)
- …and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Molina Healthcare (Miami, FL)
- …Microsoft Azure, AWS or Hadoop. * 3-5 Years of experience with predictive modeling in healthcare quality data. * 5+ Years of experience in Analysis related to ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Miami, FL)
- …Microsoft Azure, AWS or Hadoop. + 1-3 Years of experience with predictive modeling in healthcare quality data. + 1-3 Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Miami, FL)
- …up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements. + Works ... equivalent combination of education and experience **Preferred Experience** 3-5 year Quality and/or Medicare Stars knowledge highly preferred To all current Molina… more
- Molina Healthcare (Miami, FL)
- …+ Flexibility to meet changing business requirements, strong commitment to high quality , on time delivery + Previous process improvement experience + Previous ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Lead Analyst , Advanced Provider Data Management is responsible for analyzing and understanding business processes, ... technical expertise, and the ability to mentor and support other analysts. The Lead Analyst often acts as a liaison between the business units and IT, ensuring that… more
- Molina Healthcare (Miami, FL)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...access to quality care with improved outcomes through better coordination and… more
- Molina Healthcare (Miami, FL)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...access to quality care with improved outcomes through better coordination and… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to provide ... cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and bring your expertise to… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely and ... a production-based role, with clear expectations for meeting production and quality standards. **Job Duties** + Reviews and analyzes claims-related issues submitted… more
- University of Miami (Miami, FL)
- …Contacts regulatory agencies to research and clarify program rules. 10. Manages healthcare quality program departmental calendar to ensure all relevant ... University of Miami has an exciting opportunity for a Quality Management Analyst 2. CORE JOB SUMMARYThe...performance measures in relation to best practices for the healthcare service industry and internal business objectives. 3. Maintains… more
- University of Miami (Miami, FL)
- …Contacts regulatory agencies to research and clarify program rules. + Manages healthcare quality program departmental calendar to ensure all relevant submission ... & Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent...performance measures in relation to best practices for the healthcare service industry and internal business objectives. + Provides… more
- Molina Healthcare (Miami, FL)
- …software engineers on multiple projects for project deliverables, assess deliverables' quality , plan and implement corrective and preventive actions to improve ... application quality . * Evaluates alternative systems solutions and recommends solution...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Miami, FL)
- …management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of the claim payment system… more
- Molina Healthcare (Miami, FL)
- …areas. + Quality review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all contractual ... complex enrollment issues concerning member eligibility. + QNXT + Healthcare experience + SQL-preferred **Job Qualifications** **Required Education** Associate's… more
- Molina Healthcare (Miami, FL)
- …management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of the claim payment system… more
- Molina Healthcare (Miami, FL)
- …accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial accuracy and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- CACI International (Doral, FL)
- Senior Cyber Intelligence Analyst and Site Lead Job Category: Intelligence Time Type: Full time Minimum Clearance Required to Start: TS/SCI Employee Type: Regular ... **The Opportunity:** CACI is seeking a Senior Cyber Intelligence Analyst and Site Lead to manage a dedicated team...the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive… more
