- Molina Healthcare (Jacksonville, FL)
- …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business ...experience ** Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience +… more
- Percepta (Melbourne, FL)
- …meets Ford and Lincoln Protect policy guidelines. o If all policy guidelines are met, the Claims Analyst is responsible for paying the claim to the dealer. o If ... satisfaction of being part of a unique culture. The claims payment analyst is responsible for the...backs to dealer based on Ford and Lincoln Protect business rules. * Assist the Ford and Lincoln Protect… more
- Acosta Group (Jacksonville, FL)
- …a claims analyst summary form timely and consistently. + Attend business unit claims reviews as necessary. + Monitor and oversee subrogation files, ... **DESCRIPTION** The Sr. Casualty Risk Analyst will assist the Director of Risk Management...claims reporting, investigation, and depositions. + Workers' Compensation claims resource to corporate and business unit… more
- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking a ** Claims Analyst ** to join the Office of General Counsel division. At OUC, we don't just work - ... Florida statutes to review and analyze property and liability claims for OUC. In this role, you will investigate,...high school diploma or GED; a Bachelor's degree in business administration, risk management, finance, or a related field… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements ... are appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may...REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + 1-3 years claims analysis experience + 5+ years medical claims… more
- Molina Healthcare (Orlando, FL)
- …root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health ... Required Education** Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business analysis + 4+… more
- Prime Therapeutics (Tallahassee, FL)
- …work efforts + Desire and ability to educate and advance the business systems analyst practice within the Claims IT team and across the organization + Strong ... It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems … more
- Elevance Health (Tampa, FL)
- **Clinical Content Analyst ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles ... MO, Wallingford, CT, Grand Prairie, TX or Louisville, KY. The **Clinical Content Analyst ** will be responsible for driving the development and execution of the… more
- The Walt Disney Company (Celebration, FL)
- …unforgettable journeys for the entire family. The Disney Cruise Line Risk Management's Business Systems Analyst role supervises the ongoing needs related to the ... **Preferred Qualifications:** + Familiarity and/or experience in Risk Management, Claims Administration, and/or Safety Management operating systems ** Required … more
- Elevance Health (Altamonte Springs, FL)
- **Power BI Business Information Analyst Senior** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal ... and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data,… 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 ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Prime Therapeutics (Tallahassee, FL)
- …flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use hands ... every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… 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
- Molina Healthcare (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 (eg authorization) to identify… more
- Sedgwick (Tampa, FL)
- …years of related experience or equivalent combination of education and experience required . Experience in multi-line claims management processes and system ... of LLMs + RESTFUL APIs + Knowledge of third party administration and claims management business and technology + Oral and written communication skills… more
- Evolent (Tallahassee, FL)
- …creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics ... reports with complex regulatory/clinical requirements for healthcare lines of business - ** Required ** + 2+ years of...SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - ** Required ** +… 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
- 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