• Sr. Analyst, Reporting & Analytics…

    Molina Healthcare (Miami, FL)
    **JOB DESCRIPTION** **Job Summary** We are seeking a highly skilled Senior Reporting Analyst to join our dynamic team. The ideal candidate will have a strong ... background in data analysis and reporting. In this role, you will...for business optimization. + Work closely with cross-functional teams ( Finance , Marketing, Operations, etc.) to gather reporting requirements and… more
    Molina Healthcare (03/08/25)
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  • Medical Economics Consultant ( Medicare )…

    Molina Healthcare (Jacksonville, FL)
    …and multiple projects concurrently. Responsible for extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities as well ... as packaging and delivering the results to senior leadership. Responsible for consulting with network and clinical...utilization and unit cost medical cost drivers + Turn data into usable information by tell the story through… more
    Molina Healthcare (01/21/25)
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  • Sr. Pricing Manager, Finance

    Convey Health Solutions (Fort Lauderdale, FL)
    …in a similar role * Minimum three (3) years of experience at a Manager or Senior Manager level * Strong preference for Medicare -related financial and / or ... OVERVIEW The Sr. Pricing Manager, Finance role is responsible for calculating prices for...to multi-task and think quickly. * Ability to analyze data and prepare reports. * Ability to be flexible… more
    Convey Health Solutions (03/07/25)
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  • Senior Health Economics Analyst

    ChenMed (Miami, FL)
    …Care leadership and will make data -driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has ... we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and...above the minimum experience required + Bachelor's degree in Finance , Data Analytics or Economics and/or MBA… more
    ChenMed (03/07/25)
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  • Senior Accountant

    AdventHealth (Sebring, FL)
    …include Fixed Assets, Foundation, Reimbursement, Cash, Tax, and Government Reporting.The Senior Accountant routinely analyzes, compiles and summarizes data using ... are centralized for the division within the Accounting Department; thus, the Senior Accountant performs various functions for the three hospitals as well as… more
    AdventHealth (12/26/24)
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  • Senior Compliance Analyst - Hybrid

    AdventHealth (Maitland, FL)
    …Hybrid - Altamonte Springs, FL** **The role you'll contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, ... This person is responsible for compiling and analyzing multiple sources of data to support executive decision-making regarding contract violations. The Senior more
    AdventHealth (03/04/25)
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  • Senior Management Analyst II - SES

    MyFlorida (Tallahassee, FL)
    68048410 - SENIOR MANAGEMENT ANALYST II - SES Date: Mar 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency for Health Care Administration Working Title: 68048410 - SENIOR MANAGEMENT ANALYST II - SES Pay Plan: SES...position is located in the Bureau of Medicaid Program Finance (MPF). MPF manages and projects Florida's $33.7 billion… more
    MyFlorida (03/15/25)
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  • Manager, Encounter Data Management

    Humana (Tallahassee, FL)
    …caring community and help us put health first** The Manager, Encounter Data Management develops business processes to ensure successful submission and reconciliation ... of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance...meet or exceed all compliance standards via analysis of data , and develops tools to enhance the encounter acceptance… more
    Humana (02/19/25)
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  • CFO Population Health Service Organization

    AdventHealth (Maitland, FL)
    …the direction of the PHSO Executive Leader, the CFO will have matrix reporting to a Senior Finance Officer. Managing a portfolio of risk with over $5 billion in ... our legal and compliance team within AH. o Maintaining matrix reporting relationship to Senior Finance Officer. o Provide technical, financial advice as well as… more
    AdventHealth (02/01/25)
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  • Associate Actuary

    Humana (Tallahassee, FL)
    …in determining objectives and approaches to assignments. The role is within the Medicare Finance organization. This role will be required to collaborate with ... organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Finance background preferred +… more
    Humana (03/04/25)
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  • Sr Analyst, Medical Economics (NV Health Plan)…

    Molina Healthcare (FL)
    …financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance , Claims, Medical Management, Network, and ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to… more
    Molina Healthcare (03/20/25)
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  • Actuarial Analyst - REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …of client presentations + Collaborate with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the RFP process ... depth perception and ability to adjust focus **Reporting Structure** + Reports to Senior Principal in the Finance department Potential pay for this position… more
    Prime Therapeutics (02/20/25)
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  • Director, Competitive Intelligence, Stars

    Humana (Tallahassee, FL)
    …of work experience in large national plans, strategic consulting, market analysis and/or finance + Strong understanding of the Medicare Advantage Star Rating ... ideal candidate will possess a deep understanding of the Medicare landscape, strong analytical skills and the ability to...leadership team + Collaborate with Stars Measure Owners and senior leaders to refine strategies that align our mission,… more
    Humana (03/04/25)
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  • Sr Workday BI Engineer, HR Analytics

    Humana (Tallahassee, FL)
    data infrastructure, innovative analytic product development, and cutting-edge data science capabilities. The Senior **Workday** Business Intelligence ... practices used to collect, integrate, analyze, and present an organization's raw data in order to create insightful and actionable business information. Begins to… more
    Humana (03/13/25)
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  • Director, Long Term Strategic Planning

    Humana (Tallahassee, FL)
    …enterprise planning models and ensure integrity of the planning process will democratizing data access to business and finance teams + Identifying and analyzing ... business trends, market conditions, and competitor data to inform planning decisions on key drivers of...our carious business units + Engaging with stakeholders, including senior management to understand their needs and expectations **Required… more
    Humana (03/14/25)
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  • Director, Home Health Financial Operations

    Humana (Tallahassee, FL)
    …and timely information for strategic and operational decisions so that senior leadership can evaluate alternatives against the organization's business objectives. ... As a key member of the Home Health Market finance team. The Director of Financial Operations will be...for both sales and operations + Provide regular updates data packages around key revenue and cost drivers +… more
    Humana (03/15/25)
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  • Value Based Programs Specialty Care Lead

    Humana (Tallahassee, FL)
    …payment arrangements that improve quality and the member experience + Works with senior executives and various program owners to develop and drive value based ... and specialty programs + Becomes an expert in the data available from disparate sources and use this information...team environment **Preferred Qualifications:** + BA/BS degree in Accounting, Finance , or Mathematics + MBA or graduate degree in… more
    Humana (03/15/25)
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  • Clinical Manager, Home Health

    CenterWell (Sarasota, FL)
    …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + Participates in… more
    CenterWell (03/13/25)
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