- Mathematica (Tallahassee, FL)
- …analytic thinking to the collection and interpretation of quantitative and/or qualitative data , including analysis of Medicaid administrative data , managed ... Medicaid policy and practice * Assisting with quantitative analyses using Medicaid enrollment, claims/encounter, financial and program data to support program… more
- MyFlorida (Tallahassee, FL)
- …recipients receive proper coverage, enrollment into managed care plans; extracting, analyzing, and/or reporting Medicaid data ; and ensuring that new Agency ... 68000356 - HUMAN SERVICES PROGRAM ANALYST 1 Date: Aug 7, 2024 Location: TALLAHASSEE,...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- MyFlorida (Tallahassee, FL)
- …team based work environment. This position is located in the Bureau of Medicaid Quality. Medicaid Quality provides data -driven, focused and systematic ... 68064853 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jul 31, 2024 Location: TALLAHASSEE, FL,...for developing monitoring tools as well as processing and reporting tools for Medicaid services to ensure… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The Risk Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance ... sets that are used for risk adjustment analytical and reporting needs. The Analyst should leverage industry...Warehouse integrity issues. . Reconciles Data Warehouse data with CMS, HHS and Medicaid response… more
- Prime Therapeutics (Tallahassee, FL)
- …and maintain financial and complex actuarial models + Lead, perform, and review data analyses, reporting , and projections + Lead, perform, and review complex ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial ...for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in… more
- Evolent Health (Tallahassee, FL)
- …for better health outcomes and a more connected care journey. We are hiring for an Analyst to join our Clinical Rules Management Team. The Analyst will play a ... management systems. The ideal candidate will have a strong understanding of healthcare data and systems, with the ability to analyze and interpret complex clinical… more
- CVS Health (Tallahassee, FL)
- …expectations for demonstrating quality outcomes, including NCQA and state regulators for Medicaid and CHIP. Links the quality management activities to business goals ... and implementation of QM projects and activities * Converts results of data analysis into meaningful business information to disseminate conclusions about the… more
- Public Consulting Group (Tallahassee, FL)
- …to Claims Developer regarding specific tasks on claims. + Provides monthly reporting statistics. + Ensures adherence to claim timeliness and accuracy performance ... reports, process improvement meetings and meetings related to collection of required data . + Assists with quality control projects, including case reviews to ensure… more
- Public Partnerships LLC (Tallahassee, FL)
- …Architect Expert Microsoft Certified: Azure DevOps Engineer Expert Microsoft Certified: Data Analyst Associate Microsoft Certified: Azure Administrator Associate ... design reviews, development, testing, UAT, delivery and support. + Understand client reporting and data analysis requirements holistically from both current and… more
- Highmark Health (Tallahassee, FL)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate… more