Top 409 Program analyst Jobs in Sunrise 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
Care Review Clinician, ABA
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Mid-level
- Travel
- Organizational skills
- Health insurance
BCBA and BCaBA Career Opportunity at Team PBS in Florida
Positive Behavior Supports Corporation —Fort Lauderdale, FL
- Up to $114,400 a year
- Part-time
- Management
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Health insurance
5d
Ecommerce Manager
Travelpro Products, Inc. —Boca Raton, FL
- Merchandising
- Office
- Analysis skills
- Health savings account
- Paid holidays
Compensation Analyst (USI6)
VSE AVIATION INC (US) —Miramar, FL
- Full-time
- Background check
- Mid-level
- 3 years
Quick Apply
Board Certified Behavior Analyst (BCBA)
Children’s Behavior Therapy, INC. —Plantation, FL
- $60 - $75 an hour
- Part-time
- School experience
- Spanish
- Management
- Professional development assistance
- Flexible schedule
Quick Apply
8d
Change Engagement & Adoption Analyst
BankUnited, N. A. —Miami Lakes, FL
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
Worker's Comp & Benefits Analyst
Sonny's Enterprises LLC —Tamarac, FL
- Microsoft Excel
- Mid-level
- Office
- Health savings account
- Disability insurance
Salesforce Product Analyst (Hybrid/Miami Lakes)
BankUnited, N. A. —Miami Lakes, FL
- Microsoft Outlook
- Mid-level
- Finance
Board Certified Behavior Analyst (BCBA)
Lighting Behavior Services —Miami Gardens, FL
- $75 - $77 an hour
- Full-time
- Background check
- Management
- Doctoral degree
Quick Apply
Student Account Analyst
Southeastern College —Miami Lakes, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Accounting Analyst / Income Auditor - Signia by Hilton Diplomat Beach Resort
Hilton —Hollywood, FL
- Full-time
- Hospitality
- Research
- Mid-level
- Paid parental leave
- Employee stock purchase plan
OPS HUMAN SERVICES PROGRAM ANALYST - 64906776
The State of Florida —Fort Lauderdale, FL
- $22.74 an hour
- Temporary
- Background check
- High school
- Writing skills
- Employee assistance program
4d
Unity Loyalty Program Systems Analyst
Stellar IT Solutions LLC —Fort Lauderdale, FL
- $48 - $52 an hour
- Mid-level
- 3 years
- Analysis skills
Quick Apply
App Support Analyst I
Space Coast Credit Union —Miramar, FL
- $58,510 - $61,962 a year
- Weekends as needed
- Hybrid work
- Pass drug screening
- US work authorization
- Scripting
- Health savings account
- Disability insurance
Quick Apply
13d
Application Support Analyst I (Utility Billing)
City of Sunrise —Sunrise, FL
- $95,224.23 - $134,550.71 a year
- Extended hours
- Clean driving record
- ERP systems
- Mid-level
Program Analyst
Alutiiq, LLC —Fort Lauderdale, FL
- Full-time
- Computer science
- 6 years
- Computer Science
Medical Records Reviewer
ICBD —Lauderdale Lakes, FL
- $55,000 - $70,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
- Health savings account
- Disability insurance
Quick Apply
Digital & IT Senior Analyst (SSO Division – Location: Irvine, CA)
Parker Hannifin Corporation —Miami, FL
- $100,300 - $166,900 a year
- Full-time
- Mid-level
- IT
- Paid parental leave
- Paid holidays
QC Microbiology Analyst I
Transpire BIO Inc. —Weston, FL
- Full-time
- Bachelor's degree
- In-person
- Ability to stand for extended periods
- Health savings account
- Health insurance
Quick Apply

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program analyst jobs near sunrise fl

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Florida

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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 sunrise fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician, ABA

BCBA and BCaBA Career Opportunity at Team PBS in Florida

Ecommerce Manager

Compensation Analyst (USI6)

Board Certified Behavior Analyst (BCBA)

Change Engagement & Adoption Analyst

Worker's Comp & Benefits Analyst

Salesforce Product Analyst (Hybrid/Miami Lakes)

Board Certified Behavior Analyst (BCBA)

Student Account Analyst

Accounting Analyst / Income Auditor - Signia by Hilton Diplomat Beach Resort

OPS HUMAN SERVICES PROGRAM ANALYST - 64906776

Unity Loyalty Program Systems Analyst

App Support Analyst I

Application Support Analyst I (Utility Billing)

Program Analyst

Medical Records Reviewer

Digital & IT Senior Analyst (SSO Division – Location: Irvine, CA)

QC Microbiology Analyst I

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