Top 29 Senior policy analyst Jobs in Tallahassee, 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
SENIOR DATA ANALYST
The State of Florida —Tallahassee, FL
- $62,682.88 - $68,381.56 a year
- Online Application
- Background check
- HIPAA
- Research
- AD&D insurance
- Paid holidays
5d
Senior Legislative Analyst
The State of Florida —Tallahassee, FL
- Doctoral degree
- Writing skills
- Office
68064919 - GOVERNMENT ANALYST II / SENIOR PURCHASING ANALYST
The State of Florida —Tallahassee, FL
- $4,784.64 - $5,806.16 a month
- Background check
- Customer service
- Writing skills
- Paid holidays
- Health insurance
Senior Manager Finance - REMOTE
Ryder System —Tallahassee, FL
- $130,000 - $140,000 a year
- Remote
- Finance
- Bachelor's degree
- Travel
- Disability insurance
- Health insurance
4d
SENIOR DATA BASE ANALYST - 71001000
The State of Florida —Tallahassee, FL
- $57,783.18 a year
- Full-time
- Pass drug screening
- System design
- Mid-level
- Paid parental leave
- Paid holidays
Sourcing & Supply Analyst - REMOTE
Ryder System —Tallahassee, FL
- $72,000 - $85,000 a year
- Full-time
- Remote
- Mid-level
- Finance
- Master's degree
- Disability insurance
- Health insurance
7d
Sr. Business Analyst
Business Intelligence & Informatics Consulting Services, Inc (BIICS, Inc) —Tallahassee, FL
- $66.30 - $75.37 an hour
- Full-time
- Background check
- 5 years
- SharePoint
- Health insurance
Quick Apply
4d
Senior Business Analyst, SailPoint IdentityIQ (IAM Provisioning)
TECKpert —Tallahassee, FL
- $65 an hour
- Full-time
- Research
- Office
- 3 years
- Flexible schedule
Quick Apply
11d
Senior Data Engineer
Trulieve —Tallahassee, FL
- Remote
- 7 years
- Azure
- HIPAA
- Paid time off
Quick Apply
68053334 - BUDGET ANALYST C - SES
The State of Florida —Tallahassee, FL
- $4,903.88 - $6,530.38 a month
- Background check
- Writing skills
- Research
- Paid holidays
- Health insurance
5d
GOVERNMENT OPERATIONS CONSULTANT III - 48002573
The State of Florida —Tallahassee, FL
- $50,584.67 - $62,000.00 a year
- Full-time
- Background check
- Mid-level
- Office
- Paid holidays
- Dental insurance
7h
Senior Security & Compliance Analyst - Advanced
Tech Army —Tallahassee, FL
- Full-time
- Computer Science
- HIPAA
- Office
Quick Apply
6d
PROGRAM SPECIALIST III - DOE - 48003480
The State of Florida —Tallahassee, FL
- $45,060 a year
- Full-time
- Background check
- Customer service
- Public speaking
- Paid holidays
- Dental insurance
ENVIRONMENTAL SPECIALIST III - 37021151
The State of Florida —Tallahassee, FL
- $53,580.60 a year
- Background check
- 5 years
- Bachelor of Science
- Paid holidays
- Dental insurance
1d
FINANCIAL ANALYST II - 55002100
The State of Florida —Tallahassee, FL
- $57,303.31 - $65,500.00 a year
- Full-time
- 6 years
- Microsoft Outlook
- Mid-level
- Paid holidays
- Dental insurance
13d
Sr. Pricing & Deal Desk Analyst
O&M Halyard, Inc —Tallahassee, FL
- $90,000 - $110,000 a year
- Full-time
- PMP
- 5 years
- Finance
- Health savings account
- Disability insurance
Quick Apply
ENVIRONMENTAL SPECIALIST I - 37020844
The State of Florida —Tallahassee, FL
- $3,602.50 a month
- Weekends as needed
- Computer literacy
- Ability to lift 50 pounds
- Analysis skills
- Paid holidays
- Dental insurance
11d
Microsoft 365 Security Analyst
SMART TECH SKILLS LLC —Tallahassee, FL
- Full-time
- Computer Science
- 5 years
- Research
Quick Apply
8d
Security Analyst
Connective Business Solution —Tallahassee, FL
- Full-time
- Computer science
- Computer Science
- Mid-level
Quick Apply

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senior policy analyst jobs near tallahassee, fl

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

senior policy analyst jobs in tallahassee, fl

Care Review Clinician (BH Licensed) - Remote in FL

SENIOR DATA ANALYST

Senior Legislative Analyst

68064919 - GOVERNMENT ANALYST II / SENIOR PURCHASING ANALYST

Senior Manager Finance - REMOTE

SENIOR DATA BASE ANALYST - 71001000

Sourcing & Supply Analyst - REMOTE

Sr. Business Analyst

Senior Business Analyst, SailPoint IdentityIQ (IAM Provisioning)

Senior Data Engineer

68053334 - BUDGET ANALYST C - SES

GOVERNMENT OPERATIONS CONSULTANT III - 48002573

Senior Security & Compliance Analyst - Advanced

PROGRAM SPECIALIST III - DOE - 48003480

ENVIRONMENTAL SPECIALIST III - 37021151

FINANCIAL ANALYST II - 55002100

Sr. Pricing & Deal Desk Analyst

ENVIRONMENTAL SPECIALIST I - 37020844

Microsoft 365 Security Analyst

Security Analyst

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