- Elevance Health (Miami, FL)
- **Pharmacy Data Claims Analyst & Insights (Business Analyst II)** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal ... lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Data Claims Analyst & Insights (Business Analyst II)** is responsible for… more
- Sedgwick (Miami, FL)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... **:** Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest… more
- Convey Health Solutions (Fort Lauderdale, FL)
- Job Title: Senior Data Analyst Summary: The Senior Data Analyst will develop and maintain production-ready, client-facing visualizations to derive insights from ... to accelerate analytical insights and new features. Collaborating within a team, the analyst will engage with engineers, QA, Data Scientists, and Product teams using… more
- University of Miami (North Miami, FL)
- …UHealth/SoLe Mia has an exciting opportunity for a Full- time Epic Senior Analyst , Resolute Professional Billing with a hire date of December 2024. The Epic ... Senior Analyst , Resolute Professional Billing oversees and leads the Associate...Single Billing Office is required and Resolute Professional Billing Claims and Remittance Administration, or Resolute Hospital Professional Billing… more
- University of Miami (Miami, FL)
- …Technology Department has an exciting opportunity for a full time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior Analyst - Resolute ... Epic Analysts and Epic Analysts on the team. The Epic Senior Analyst initiates the implementation, builds, and modifies of the application, and collaborates… more
- Elevance Health (Miami, FL)
- **Grievance/Appeals Analyst Lead** **Candidates must be located within 50 miles of Atlanta, GA, Miami, FL, Mason, OH, Norfolk, VA, Tampa, FL, or Topeka, KS** The ... **Grievance/Appeals Analyst Lead** is responsible for leading and coaching a...and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize… more
- Elevance Health (Miami, FL)
- **Actuarial Analyst III** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... onsite will be discussed as part of the hiring process. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- University of Miami (Miami, FL)
- …Information Technology Department has an exciting opportunity for a full-time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior Analyst - ... Single Billing Office is required and Resolute Professional Billing Claims and Remittance Administration, or Resolute Hospital Professional Billing Expected… more
- University of Miami (Miami, FL)
- …. The University of Miami has an exciting opportunity for a Regulatory Analyst with Bascom Palmer Eye Institute in the Department of Research. The Regulatory ... Analyst will be responsible for conducting the on-site audits,...revised treatment matrix which will identify possible cancers from claims data. CORE JOB FUNCTIONS + Analyzes regulatory requirements,… 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 regulatory… more
- Elevance Health (Miami, FL)
- …one of Elevance's Pulse Point locations. **The** **Provider Reimbursement and Financial Analytics Analyst ** ( Provider Contract/Cost of Care Analyst S **r).** is ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- Sedgwick (Miami, FL)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Data Analyst Manager **PRIMARY PURPOSE** **:** To manage a staff of data analysts; ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- System One (Weston, FL)
- …Python/R, or other similar languages. * 3 or more years working in a data scientist/ analyst role. * 2 or more years of experience with any SQL dialect. * Candidate ... * Prior experience working with Medicare and/or Medicaid data, especially claims data and familiarity with claims codes (HCPCS/CPT/ICD-10-CM/ICD-10-PCS). *… more