Top 140 Program analyst Jobs in Niceville Fl

Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Sr Plan Forecast Budget Analyst, Finance FP&A, FT,08A-4:30P
Baptist Health South Florida —Florida
- $78,611.15 - $102,194.50 a year
- Full-time
- Office
- Finance
- Bachelor's degree
- Wellness program
- Health insurance
Program Analyst
Intuitive Research and Technology Corporation —Valparaiso, FL
- Full-time
- 5 years
- Bachelor of Science
- Office
Sr. Program Analyst
2 Circle Inc —Fort Walton Beach, FL
- $160,000 - $190,000 a year
- Full-time
- Military
- Office
- 3 years
- Paid holidays
- Health insurance
Quick Apply
Program Analyst
The Copper River Family of Companies —Hurlburt Field, FL
- Full-time
- Office
- Analysis skills
- Continuous improvement
- Health savings account
- Paid holidays
Quick Apply
1d
Schedule Analyst
Booz Allen Hamilton —Eglin AFB, FL
- $55,300 - $126,000 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
1d
Systems Analyst
Bridgeway Center, Inc. (BCI) —Fort Walton Beach, FL
- $60,000 a year
- Full-time
- Background check
- Spanish
- Current TB test
- 403(b) matching
- Health savings account
Quick Apply
Operations Analyst
The Copper River Family of Companies —Hurlburt Field, FL
- Full-time
- Analysis skills
- No degree
- Communication skills
- Health savings account
- Paid holidays
Quick Apply
1d
Senior Program Analyst
The Copper River Family of Companies —Hurlburt Field, FL
- Full-time
- Office
- Analysis skills
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
1d
Schedule Analyst, Senior
Booz Allen Hamilton —Fort Walton Beach, FL
- $77,500 - $176,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Health insurance
- Flexible spending account
Multi-Functional Financial Analyst
Lockheed Martin Corporation —Fort Walton Beach, FL
- Full-time
- Mid-level
- Analysis skills
- Presentation skills
- Paid jury duty
- Paid holidays
8d
Mission Analytics SME
Booz Allen Hamilton —Niceville, FL
- $112,900 - $257,000 a year
- Full-time
- 6 years
- Office
- Bachelor's degree
- Health insurance
- Flexible spending account
13d
Senior IT Customer Support
KBR —Niceville, FL
- $96,000 - $135,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
Contractor Program Security Officer (CPSO) (Industrial Security Analyst 3) 29168
HII —Hurlburt Field, FL
- $71,234 - $110,000 a year
- Email
- Construction site
- Military
- 3 years
- Paid holidays
- Health insurance
CWMD Strategy & Policy Analyst
Booz Allen Hamilton —Hurlburt Field, FL
- $61,900 - $141,000 a year
- Full-time
- PMP
- 5 years
- Mid-level
- Disability insurance
- Health insurance
Data Analyst, Senior
Booz Allen Hamilton —Hurlburt Field, FL
- $77,500 - $176,000 a year
- Full-time
- Microsoft Access
- Computer Science
- Office
- Health insurance
- Flexible spending account
AFSIM Analyst
SURVICE Engineering Company —Fort Walton Beach, FL
- $90,000 - $150,000 a year
- Full-time
- Master's degree
- Analysis skills
- Bachelor's degree
- 401(k)
- Tuition reimbursement
Quick Apply
Cost Analyst, Senior
Booz Allen Hamilton —Fort Walton Beach, FL
- $77,500 - $176,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Disability insurance
- Health insurance
Multi Function Info Systems, MPSE Admin
Lockheed Martin Corporation —Eglin AFB, FL
- Overtime
- Customer service
- Office
- In-person
- Paid jury duty
- Paid holidays
Program Analyst IV Senior - Top Secret Clearance
V2X —Eglin AFB, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Bachelor of Science

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Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Florida

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Productivity software

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Assesses services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization / financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors and presents cases in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote Molina care model.
Adheres to utilization management (UM) policies and procedures.
May work collaboratively with appropriate departments to provide applied behavior analysis (ABA)/behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders.
May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: psychological evaluation requests, comprehensive diagnostic evaluations, functional behavioral assessments, and progress reports.
May perform ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy.
May provide peer to peer consultation BHT in-network providers to support treatment planning and maximize member progress.
May work collaboratively with ABA providers to ensure best service practices for members.
May create and develops forms, recommendations and guidelines and training for BHT service delivery.
May collaborate and coordinate with behavioral health medical directors, and senior medical directors to ensure proper management of the BHT benefit.

Required Qualifications

At least 2 years health care experience, including experience in behavioral health and/or hospital acute care, or equivalent combination of relevant education and experience.
Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or equivalent behavioral health licensure. License must be active and unrestricted in state of practice.
May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA).
Demonstrated knowledge of community resources.
Ability to operate proactively and demonstrate detail-oriented work.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving, and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Recent hospital behavioral health experience in an intensive care unit (ICU) or emergency room.

#PJHS3

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Apply Now

Refine Your Search

program analyst jobs in niceville fl

Care Review Clinician (BH Licensed) - Remote in FL

Sr Plan Forecast Budget Analyst, Finance FP&A, FT,08A-4:30P

Program Analyst

Sr. Program Analyst

Program Analyst

Schedule Analyst

Systems Analyst

Operations Analyst

Senior Program Analyst

Schedule Analyst, Senior

Multi-Functional Financial Analyst

Mission Analytics SME

Senior IT Customer Support

Contractor Program Security Officer (CPSO) (Industrial Security Analyst 3) 29168

CWMD Strategy & Policy Analyst

Data Analyst, Senior

AFSIM Analyst

Cost Analyst, Senior

Multi Function Info Systems, MPSE Admin

Program Analyst IV Senior - Top Secret Clearance

I want to receive the latest job alert for program analyst in niceville fl

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