- Kemper (Miami, FL)
- … Claims organization. **Position Responsibilities:** + Developing understanding of the P&C Claims business in order to support key claim projects with metrics ... claims organization and leadership on strategic goals and business initiatives. + Ability to maintain confidential and trust-based...required or equivalent of 3 working years in Claims , specific to Material Damage + Knowledge of specific… more
- Molina Healthcare (Miami, 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
- University of Miami (Medley, FL)
- …. The University of Miami/UHealth Department of Central Business Office has an exciting opportunity for a full-time ... _ to work in Miami, FL. The Revenue Cycle Analyst ensures that the department is accurately processing patient and financial data to maximize revenue while… more
- ChenMed (Miami, FL)
- …we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support ... through the ability to leverage data and analytic skills to create business intelligence-identifying risks to be mitigated or opportunities to be seized. The… more
- MyFlorida (Margate, FL)
- …for this position and hold a current license through the Florida Department of Business & Professional Regulation, you may be required to place your license ... DESKTOP ENGINEER (SYSTEMS PROJECT ANALYST - 79010023) Date: Mar 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our… more
- Elevance Health (Miami, FL)
- …a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The **Test Analyst ( Business Analyst III)** will be responsible for serving ... **Test Analyst - Pharmacy Benefit Management (PBM)** **Location:** Alternate...as the liaison between the business and IT in translating complex business … more
- University of Miami (Miami, FL)
- …in Resolute Professional Billing Administration including Single Billing Office is required and Resolute Professional Billing Claims and Remittance ... has an opportunity for a full-time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior ...documentation and training strategies. + Works with stakeholders, the business community, and end users to ensure the application… more
- University of Miami (Miami, FL)
- …in Resolute Hospital Billing Administration including Single Billing Office is required and Resolute Hospital Billing Claims and Remittance Administration, ... has an exciting opportunity for a Full-Time Epic Senior Analyst , Resolute Hospital Billing with a hire date of...documentation and training strategies. + Works with stakeholders, the business community, and end users to ensure the application… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Miami, 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
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Remote Regulatory Analyst 1. CORE JOB SUMMARY: The SCCC department is seeking a Regulatory Analyst ... and testing the revised treatment matrix which will identify possible cancers from claims data. The RA1 will facilitate the process of preparing required … more
- Molina Healthcare (Miami, 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
- Convey Health Solutions (Fort Lauderdale, FL)
- The Reconciliation Analyst is responsible for the timely and accurate resolution of discrepancies identified in the reconciliation processes. The analyst will ... Health Plan Operations experience including; Customer Service, Enrollment, and or Claims processing. OTHER DUTIES AND RESPONSIBILITIES * Responsible for compliance… more
- Molina Healthcare (Miami, 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… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree in Finance, Economics, Computer Science **… more
- Molina Healthcare (Miami, 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 (Miami, 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 (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... Analyzing Financial and Utilization Metrics of Healthcare. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree in Finance, Economics, Computer Science **… more
- Molina Healthcare (Miami, 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
- Elevance Health (Miami, FL)
- …and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, ... **HEDIS Business Information Consultant** **Location:** This position will take...days physically in office per week** . Associates are ** required ** to live within a 50-mile radius and a… more