- Molina Healthcare (Orlando, FL)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- AdventHealth (Maitland, FL)
- …Springs, FL** **The role you'll contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, ... support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and Governmental (Medicare,… more
- AdventHealth (Altamonte Springs, FL)
- …spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain insights into ... **Health Plan Data Analyst ** **Location:** Virtual **All the benefits and perks...the Population Health Analytics team and will partner with business and operational owners to identify and execute cost… more
- MyFlorida (Orlando, FL)
- …Agency: Business and Professional Regulations Working Title: SYSTEMS PROJECT ANALYST (Desktop Engineer) - 79010063 Pay Plan: Career Service Position Number: ... SYSTEMS PROJECT ANALYST (Desktop Engineer) - 79010063 Date: Mar 12,...and Mission: The Mission of the Florida Department of Business and Professional Regulation (DBPR) is to "License Efficiently… more
- The Hartford (Lake Mary, FL)
- …by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused ... Sr Ability Analyst - C409ANAbility Specialist - C409BN We're determined...with the expectation of coming into an office as business needs arise. Start Date: 05/12/2025 Training Hours: Core… more
- Molina Healthcare (Orlando, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Orlando, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Orlando, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in contracts and benefits configuration. + Strong background in claims is required. + Experience working on Networx, QNXT… more
- Sedgwick (Orlando, FL)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Data Analyst **PRIMARY PURPOSE** : To create comprehensive reporting and analysis of… more
- Molina Healthcare (Orlando, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Molina Healthcare (Orlando, FL)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Orlando, FL)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... exhibits and data visualizations to illustrate key trend drivers + Work with business owners to track performance indicators of medical interventions + Extract and… more
- MyFlorida (Orlando, FL)
- …. Requisition No: 848268 Agency: Business and Professional Regulations Working Title: ... position under the direct supervision of the Senior Management Analyst I - SES in the Division of Real...hold a current license through the Florida Department of Business & Professional Regulation, you may be required to… more