Pinellas Park • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Pinellas Park • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Pinellas Park • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Pinellas Park • 50 milesRemote · Hybrid · Onsite · Field · All Environments
10 manager managed care analytics jobs at 9 companies in Pinellas Park, FL
3w
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Behavioral Health Care Program Delivery Lead (Tandem Care)
The Villages or St. Petersburg or Orlando or DeLand or Kissimmee or Tampa
$115k-$158k/yr HybridFull Time
5+ YOEBachelor's degree,5+ years healthcare strategy and operations experience,analytics and dashboard development,cross-functional product translation,Excel and PowerPoint proficiency,strong collaboration and project management skills.
Athena, Microsoft Excel, Microsoft PowerPoint
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.
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
2mo
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EXECUTIVE DIRECTOR STRATEGIC CONTRACTING
Tampa, Florida, United States
OnsiteFull Time
10+ YOE4+ Mgmt10+ years managed care/healthcare finance experience with at least 6 years in managed care negotiations and 4 years management; bachelor’s required (healthcare, business, law), master’s/JD preferred; strong negotiation, reimbursement analytics, and payer strategy skills.
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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Director, Actuarial Services
United States or Tampa
RemoteFull Time
5+ YOEBachelor's degree in a quantitative field, ASA and MAAA credentials, and 5+ years of actuarial experience including health plan or managed care experience. Requires healthcare pricing, reserving, risk adjustment, and analytical expertise.
Microsoft Excel, VBA, Tableau, SAS, R, Python, Snowflake, Databricks, AWS, ICD-10, CPT, HCPCS, DRG
1mo
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AR Follow Up Denials Specialist - Denial & Appeals Mgmt
Lakeland, Florida, United States
$18-$21/hr HybridFull Time
2+ YOE2+ years patient accounting experience, knowledge of Medicare/Medicaid/managed care, EOB interpretation, strong Excel/Word skills, analytical problem solving, HIPAA compliance, and effective written/verbal communication.
Microsoft Word, Microsoft Excel
4d
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HEDIS Clinical Quality Navigator (OCS) - CareBridge
Indianapolis or Atlanta or Ashburn or Richmond or Louisville or Tampa or Miami or Durham or Nashville or Grand Prairie or Winston-Salem or Virginia
$18-$34/hr RemoteFull Time
1+ YOEHigh school diploma or equivalent and 1+ year related experience required. Managed care, HEDIS, Stars, CNA/CMA, related bachelor's degree, bilingual skills, and strong communication, analytical, facilitation, and problem-solving skills preferred.
HEDIS, STARS
2w
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Assistant Director of Nursing
Kenneth City, Florida, United States
OnsiteFull Time
1+ YOEBachelor's degree in nursing or related field, current Florida RN license, and 1–2 years of registered nursing experience required; long-term care experience preferred. Requires leadership, communication, analytical, and problem-solving skills.
1w
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Senior Nurse Consultant- ALF
Clearwater, Florida, United States
FieldFull Time
3+ YOE2+ MgmtNursing degree, active multi-state RN license, CPR, 3–5 years of long-term care clinical experience, and at least 2 years of leadership experience. Requires compliance, auditing, documentation, analytical, communication, and training skills.
CMS State Operations Manual, Electronic Health Record, MDS