- Molina Healthcare (Orlando, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- The Hartford (Lake Mary, FL)
- …too. Join our team as we help shape the future. The Leave Management Analyst primarily investigates claims to determine if the insured person qualifies for ... Ability Analyst - C410AN We're determined to make a...to retrieve and relay information relevant to leave management claims . + Provide exceptional customer service using professional written… 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...vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of helping our customers rebuild… 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...utilizing analytical software tools and applications + Health Plan claims data knowledge This facility is an equal opportunity… 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 (Maitland, FL)
- …(Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in decision support and… more
- MyFlorida (Orlando, FL)
- SYSTEMS PROJECT ANALYST (Desktop Engineer) - 79010063 Date: Mar 12, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... 848708 Agency: Business and Professional Regulations Working Title: SYSTEMS PROJECT ANALYST (Desktop Engineer) - 79010063 Pay Plan: Career Service Position Number:… more
- Molina Healthcare (Orlando, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… 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 ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- Molina Healthcare (Orlando, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with...Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience… more
- Molina Healthcare (Orlando, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- Molina Healthcare (Orlando, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… 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 ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… 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 ... related to medical care costs + Work closely with Marketplace and Behavioral Health teams to address emerging trends + Draw actionable conclusions based on analyses performed + Create impactful exhibits and data visualizations to illustrate key trend drivers +… more
- MyFlorida (Orlando, FL)
- …highly responsible administrative position under the direct supervision of the Senior Management Analyst I - SES in the Division of Real Estate, Operation Support ... complex applications for unusual processing standards and requirements. *Assists Senior Management Analyst I - SES with all aspects of effective and efficient… more