Pembroke Pines • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Pembroke Pines • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Pembroke Pines • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Pembroke Pines • 50 milesRemote · Hybrid · Onsite · Field · All Environments
29 manager managed care analytics jobs at 18 companies in Pembroke Pines, FL
2mo
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Managed Care Accountant
Miami, Florida, United States
OnsiteFull Time
3+ YOEBachelor's in Accounting or Finance; 3 years in finance/accounting; knowledge of accounting principles; proficiency in accounting software and Excel; strong analytics and communication.
Accounting software, Microsoft Excel
1mo
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Program Director - Home Health Coordinator Planning Office (Florida Health Plan) - Remote in Florida
Florida or Jacksonville or Miami or Orlando or St Petersburg or Tampa
$80k-$157k/yr RemoteFull Time
7+ YOE3+ MgmtBachelor's degree,7+ years healthcare operations or managed care leadership,3+ years direct leadership,experience with Medicaid/managed care/home health preferred,strong analytical, regulatory and cross-functional coordination skills.
3mo
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Clinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt, FT, 8:30A-5P
Miami, Florida, United States
OnsiteFull Time
5+ YOE5+ years CDI experience, knowledge of coding guidelines and DRG systems, CCDS or CDIP certification, experience with EHRs and analytics, strong clinical inpatient experience across adult/pediatric/critical care.
EHR, CDEOne, Epic, TruBridge, InterQual, Microsoft Windows
3w
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Director of TPA Operations
Miami, Florida, United States
$100k-$120k/yr OnsiteFull Time
7+ YOE7–10+ years TPA or managed care claims operations experience; knowledge of claims lifecycle, benefit configuration, compliance (CMS/HIPAA/ERISA); analytics and leadership skills; bachelor’s degree or equivalent.
QNXT, QuickCap
2mo
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Center Clinical Manager
North Miami, Florida, United States
$54k-$78k/yr OnsiteFull Time
5+ YOE2+ MgmtManage back-office clinical operations, supervise and train clinical staff, ensure clinical quality and compliance, perform occasional patient care, and use data analytics to meet performance metrics.
EMR, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
2mo
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Integrated Case Manager - Registered Nurse
Doral or Miami or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
3+ YOEActive RN licensure, 3+ years nursing experience, associates degree (bachelors preferred); experience in case management/managed care and discharge planning preferred; strong communication, analytical, and telephonic assessment skills.
1mo
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Assistant Nurse Manager - Intermediate Care Unit (IMCU)
Weston, Florida, United States
OnsiteFull Time
2+ YOEBSN from an accredited nursing school, current RN license, two years of recent clinical nursing experience, BLS through AHA or American Red Cross, and strong clinical, communication, analytical, and organizational skills.
1mo
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Account payable manager- must have health care experience
Hollywood, Florida, United States
OnsiteFull Time
2+ YOEDegree in accounting or related field, minimum 2 years experience, prior healthcare accounts payable experience, strong analytical and communication skills, proficiency with accounting software and spreadsheets.
5d
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Manager, Ophthalmic Service, Retina_ Neuro Full Time Bascom Palmer Eye Institute Miami, FL
Miami, Florida, United States
OnsiteFull Time
5+ YOE5+ MgmtBachelor’s degree or equivalent, 5+ years in clinical leadership, physician support and patient-care coordination, EMR experience, and strong management, project, analytics, and communication skills.
Electronic Medical Record (EMR), Epic, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Adobe, QGenda
1w
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Claims Quality Business Analyst
Coral Gables, Florida, United States
OnsiteFull Time
3+ YOEBachelor's degree required with 3–5 years of health plan claims, business analysis, or healthcare analytics experience; requires managed care knowledge, strong reporting, data analysis, communication, and advanced Excel skills.
Microsoft Excel, Facets, QNXT, HealthRules
1mo
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Revenue Cycle Manager
North Miami Beach, Florida, United States
OnsiteFull Time
5+ YOEBachelor's degree or equivalent,5+ years healthcare revenue cycle experience,knowledge of medical billing, SNF/wound care billing preferred,EMR/EHR and Excel proficiency,leadership and analytical skills.
Electronic Medical Records (EMR/EHR), practice management systems, Microsoft Office, Microsoft Excel
1mo
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Clinical & Financial Performance Manager
Albany or Arlington or Atlanta or Austin or Beaverton or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Culver City or Denver or Des Moines or Detroit or Hartford or Houston or Irving or Kirkland or Miami or Milwaukee or Minneapolis or Morristown or Mountain View or Nashville or New York City or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Redmond or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$80k-$294k/yr FieldFull Time
5+ YOERequires 5+ years of healthcare consulting, 2+ years in cost-of-care transformation, quality improvement, or clinical finance, a bachelor's degree, and strong analytical skills.
Stars, HEDIS, CMS
2w
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Key Account Manager
Miami or Fort Lauderdale or Yardley
$88k-$163k/yr FieldFull Time
3+ YOEBachelor's degree, 3+ years of high-performance sales, eye care experience, valid driver's license and safe record, strong relationship, analytical, presentation, and territory planning skills; Microsoft Office, CRM, and Veeva skills.
Microsoft Office, CRM, Veeva
1mo
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Oncology Practice Enablement Clinician Sr. - Quality, Value Based Care, and Practice Tranformation
Chicago or Denver or Miami or Cincinnati or New York City or Tampa or Norfolk or Mason or Grand Prairie or Walnut Creek or Atlanta
$113k-$203k/yr FieldFull Time
7+ YOEBA/BS in Nursing or Pharmacy, PharmD, or MSW and 7+ years clinical/medical management experience; active unrestricted state license (RN, NP, RPh, MSW, LCSW); strong communication, facilitation, analytical skills; oncology experience preferred.
Carelon Provider Dashboard
3w
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Clinical Performance Advisor (RN)
North Miami Beach, Florida, United States
$84k-$124k/yr OnsiteFull Time
5+ YOERequires RN certification, bachelor's degree in nursing or relevant healthcare field, 5+ years acute-care clinical experience, and 3+ years managed-care quality assurance, analytics, and reporting experience.
Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
2mo
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Grievance and Appeals Analyst I
Doral, Florida, United States
$22-$24/hr FieldFull Time
2+ YOEMinimum 2 years managed care/appeals or equivalent; working knowledge of Medicare/Medicaid/CMS and NCQA; experience with claims/denial management; strong analytical, written and verbal communication; proficiency with Microsoft Office and case/claims systems.
Microsoft Office
3w
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Payer Operations Analyst
Miami, Florida, United States
OnsiteFull Time
3+ YOEBachelor's degree in finance/business or related field,3+ years financial/data analytics experience,experience with contract modeling systems,intermediate-advanced Microsoft Office and BI/Tableau,managed care knowledge.
FinThrive, Epic Contract Modeling, Microsoft Office, Tableau
1mo
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Revenue Cycle & Claims Operations Lead
Pompano Beach, Florida, United States
$115k-$150k/yr OnsiteFull Time
5+ YOE5+ years revenue cycle or claims operations experience in healthcare; hands-on Athena configuration experience; value-based care and payer contract interpretation; strong analytical and reporting skills; experience leading billing/claims staff preferred.
Athena
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