Top 295 Senior project analyst Jobs in Tampa Fl

Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Psychological Operations (PSYOP) / MISO Planner / Technical Site Lead, Tampa, FL; Amman, Jordan – TS-SCI
Peraton —Macdill AFB, FL
- $112,000 - $179,000 a year
- Bachelor of Science
- Analysis skills
- Experience equivalent to degree accepted
- Health savings account
- Paid holidays
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Saint Petersburg, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
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
Director of Land Finance
The Minto Group —Tampa, FL
- Full-time
- CPA
- System design
- Office
- Paid time off
- Parental leave
Quick Apply
Reinsurance Analyst Senior
USAA —Tampa, FL
- $93,770 - $179,240 a year
- Hybrid work
- Military
- Research
- Office
- Paid holidays
- Health insurance
1d
Senior Data Engineer
Brooksource —Tampa, FL
- $70 - $75 an hour
- Full-time
- Azure
- 6 years
- Computer Science
- Health insurance
- Dental insurance
Quick Apply
Applications Development Senior Programmer Analyst - AVP
Citi —Tampa, FL
- $96 an hour
- Full-time
- Microsoft Access
- Computer Science
- 5 years
- Paid holidays
- Disability insurance
1d
Application Development Technology Senior Lead- Senior Vice President
Citi —Tampa, FL
- $141,440 - $212,160 a year
- Full-time
- Azure
- Oracle
- Computer Science
- Paid holidays
- Disability insurance
Senior Full stack Application developer
Citi —Tampa, FL
- $96,960 - $145,440 a year
- Full-time
- 5 years
- System design
- Office
- Paid holidays
- Disability insurance
2d
Senior Java Developer, FX eCommerce, Vice President
Citi —Tampa, FL
- $142,320 - $213,480 a year
- Full-time
- 6 years
- System design
- Office
- Paid holidays
- Disability insurance
1d
Senior Java Developer, Vice President
Citi —Tampa, FL
- $142,320 - $213,480 a year
- Full-time
- 6 years
- System design
- Office
- Paid holidays
- Disability insurance
Full Stack Engineer Lead Java/Angular - Vice President
Citi —Tampa, FL
- $113 an hour
- Full-time
- Azure
- 6 years
- System design
- Paid holidays
- Disability insurance
11d
Data Analytics Lead - Data Scientist - Vice President - C13 - TAMPA
Citi —Tampa, FL
- $125,760 - $188,640 a year
- Full-time
- Office
- Master's degree
- SQL
- Paid holidays
- Disability insurance
2d
Big Data/PySpark Engineering Lead - Vice President
Citi —Tampa, FL
- $113,840 - $170,760 a year
- Full-time
- 6 years
- Office
- Master's degree
- Paid holidays
- Disability insurance
2d
Applications Development Sr Programmer Analyst, Assistant Vice President
Citi —Tampa, FL
- $96,960 - $145,440 a year
- Full-time
- System design
- Office
- SQL
- Paid holidays
- Disability insurance
Full Stack Engineer Lead Java/React- Vice President
Citi —Tampa, FL
- $113 an hour
- Full-time
- Azure
- 6 years
- System design
- Paid holidays
- Disability insurance
11d
Senior Data Analyst
Philip Morris International U.S. —Tampa, FL
- $104,000 - $130,000 a year
- Full-time
- 5 years
- English
- Analysis skills
- Commuter assistance
- Health insurance
Senior Business Analyst - Health Insurance (Fully Remote)
CoverGo —Tampa, FL
- Full-time
- Remote
- 5 years
- English
- Team management
Quick Apply
7d
Senior Data Analyst
Luxoft —Tampa, FL
- 6 years
- English
- Analysis skills
2d

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senior project analyst jobs near tampa fl

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Tampa, FL

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 project analyst jobs in tampa fl

Care Review Clinician (BH Licensed) - Remote in FL

Psychological Operations (PSYOP) / MISO Planner / Technical Site Lead, Tampa, FL; Amman, Jordan – TS-SCI

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Director of Land Finance

Reinsurance Analyst Senior

Senior Data Engineer

Applications Development Senior Programmer Analyst - AVP

Application Development Technology Senior Lead- Senior Vice President

Senior Full stack Application developer

Senior Java Developer, FX eCommerce, Vice President

Senior Java Developer, Vice President

Full Stack Engineer Lead Java/Angular - Vice President

Data Analytics Lead - Data Scientist - Vice President - C13 - TAMPA

Big Data/PySpark Engineering Lead - Vice President

Applications Development Sr Programmer Analyst, Assistant Vice President

Full Stack Engineer Lead Java/React- Vice President

Senior Data Analyst

Senior Business Analyst - Health Insurance (Fully Remote)

Senior Data Analyst

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