- Acosta Group (Jacksonville, FL)
- DESCRIPTION The Claims Analyst will assist the Manager of Risk Management in the implementation of the corporation's property and casualty risk management ... communication of programs to business units, and departmental accounting. RESPONSIBILITIES The Claims Analyst will support the Risk Management team in… more
- UnitedHealth Group (Tampa, FL)
- …on a global scale. Join us to start Caring. Connecting. Growing together. A Medical Claims Analyst (MCA) is responsible for the intake processing and triage of ... with your schedule. Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and… more
- Elevance Health (Tampa, FL)
- Performance Quality Analyst II Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... is granted as required by law. The Performance Quality Analyst II is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Molina Healthcare (Tampa, FL)
- Job Description Job Summary The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops ... Medicare/MMP. Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. Assist Quality department with HEDIS measure… more
- Molina Healthcare (Orlando, FL)
- Job Description Job Summary Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Orlando, FL)
- …issues. Experience working in a Medicare environment is highly preferred. Claims adjudication experience is highly preferred. Job Qualifications Required Education ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. Preferred Education Bachelor's… more
- Travel + Leisure Co. (Orlando, FL)
- …inspiration into exceptional experiences for millions of travelers worldwide. The **Senior Property Claims Analyst ** will play a crucial role as part of a ... high-performing, results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all aspects of property claim recordkeeping… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** The Claims Analyst will assist the Manager of Risk Management in the implementation of the corporation's property and casualty risk management ... communication of programs to business units, and departmental accounting. **RESPONSIBILITIES** The Claims Analyst will support the Risk Management team in… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... cost management role would consist of proactive claim administration for workers' compensation claims by providing analysis on each open claim, as well as devising… more
- WTW (Miami, FL)
- **Description** We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims ... such as supporting the effective management, analysis, and resolution of claims , ensuring accurate processing and timely communication between clients, reinsurers,… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. ... management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership,… more
- Molina Healthcare (FL)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** * Serves as … more
- Deloitte (Jacksonville, FL)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... ideas and collaborate on projects without the extensive demands of travel. The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients,… more
- Carrington (Jacksonville, FL)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Sedgwick (Jacksonville, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill Review ... Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This position… more
- Elevance Health (Miami, FL)
- **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance &… more
- Public Consulting Group (Tallahassee, FL)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Prime Therapeutics (Tallahassee, FL)
- …build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data using… more
- MyFlorida (Tallahassee, FL)
- OPS RECORDS ANALYST - 64858479 Date: Dec 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 860087 Agency: Department of Health Working Title: OPS RECORDS ANALYST - 64858479 Pay Plan: Temp Position Number: 64858479...assist us with the processing of Social Security disability claims . This position requires the incumbent have good oral… more
- CVS Health (Tallahassee, FL)
- …The **Claim Field Analyst ** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could be ... it all with heart, each and every day. **Position Summary** The **Claim Field Analyst ** acts as the primary resource for groups and providers, within a specific… more
