- Molina Healthcare (Jacksonville, FL)
- …Operations teams . Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... SKILLS & ABILITIES: . 2-5 years of experience in medical claims processing, research , or a related field . Demonstrates familiarity in a variety… more
- Molina Healthcare (Orlando, FL)
- …processing issues + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... cross functionally across multiple business areas. **KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing… more
- Molina Healthcare (FL)
- …+ Must have experience in research , review and audits for adjudication rates of claims + Must be able to work in cross functional teams + Must have experience ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Elevance Health (Miami, FL)
- …model with PulsePoint sites used for collaboration, community, and connection The **HEDIS Research Analyst ** is responsible for serving as an expert in HEDIS ... procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… 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 ... schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in...Markets. **The value you'll bring to the team:** + Research and analyzes managed care data from the various… more
- MyFlorida (Tallahassee, FL)
- 68039526 - GOVERNMENT ANALYST II Date: Jan 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Agency for Health Care Administration Working Title: 68039526 - GOVERNMENT ANALYST II Pay Plan: Career Service Position Number: 68039526 Salary: $2,033.07-… more
- MyFlorida (Clearwater, FL)
- …include analysis, research and distribution relating to paper out-of-state exceptional claims . Examples of the duties involved include claims distribution; ... 68021186 - HUMAN SERVICES PROGRAM RECORDS ANALYST Date: Jan 14, 2025 The State Personnel...Administration Working Title: 68021186 - HUMAN SERVICES PROGRAM RECORDS ANALYST Pay Plan: Career Service Position Number: 68021186 Salary:… more
- Sumitomo Pharma (Tallahassee, FL)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... assets, and in-house advanced technology capabilities, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For… 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
- University of Miami (Miami, FL)
- …Regulatory Analyst with Bascom Palmer Eye Institute in the Department of Research . The Regulatory Analyst will be responsible for conducting the on-site ... the revised treatment matrix which will identify possible cancers from claims data. CORE JOB FUNCTIONS + Analyzes regulatory requirements, identifies potential… more
- MyFlorida (Miami, FL)
- MEDICAID FRAUD ANALYST II - 41000989 Date: Jan 7, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 844143 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41000989 Pay Plan: Career Service Position Number: 41000989 Salary:… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT ANALYST II - 64085469 Date: Jan 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 844714 Agency: Department of Health Working Title: GOVERNMENT ANALYST II - 64085469 Pay Plan: Career Service Position Number: 64085469 Salary:… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Regulatory Analyst 1 to work remotely. CORE JOB SUMMARYThe Regulatory Analyst 1 - ... tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS1. Analyzes regulatory requirements, identifies potential… more
- MyFlorida (Orlando, FL)
- Systems Project Analyst - 79010063 Date: Jan 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 844950 Agency: Business and Professional Regulations Working Title: Systems Project Analyst - 79010063 Pay Plan: Career Service Position Number: 79010063 Salary:… more
- University of Miami (Miami, FL)
- …programs. UHealth/SoLe Mia has an exciting opportunity for a Full-Time Epic Senior Analyst , Resolute Hospital Billing with a hire date of December 2024. The Epic ... Senior Analyst , Resolute Hospital Billing oversees and leads the Associate...Single Billing Office is required and Resolute Hospital Billing Claims and Remittance Administration, or Resolute Hospital Billing Charging,… more
- University of Miami (Miami, FL)
- …System IT Department has an opportunity for a full-time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior Analyst , Resolute Professional ... Epic Analysts and Epic Analysts on the team. The Epic Senior Analyst , Resolute Professional Billing initiates the implementation, builds, and modifies of the… more
- NextEra Energy (Juno Beach, FL)
- **State & Local Tax Analyst (SALT)** **Date:** Jan 12, 2025 **Location(s):** Juno Beach, FL, US, 33408 **Company:** NextEra Energy **Requisition ID:** 82149 is ... and payment estimates in line with the company's tax filing calendar + Research inquiries from government agencies regarding filings, compliance, and other claims… more
- Molina Healthcare (Jacksonville, FL)
- …ability to work independently, self-navigate organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, ... and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex...Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. +… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT ANALYST I - 42001595 Date: Jan 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 844736 Agency: Agriculture and Consumer Services Working Title: GOVERNMENT ANALYST I - 42001595 Pay Plan: Career Service Position Number: 42001595… more
- Champion Home Builders Inc. (Lake City, FL)
- …Time **Champion Home Builders Co.** **Job Description** **Job Title:** Purchasing Report Analyst **FLSA Status:** Non-exempt **Good Life Begins with A Good Company. ... YOU! We are seeking to hire a Purchasing Report Analyst to join our team in the Lake City,...commodity market prices for reporting + Review purchase order claims and contracts for conformance to company + Work… more