- Norstella (Tallahassee, FL)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- MyFlorida (Tallahassee, FL)
- 68039493 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Dec 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 866293 Agency: Agency for Health Care Administration Working Title: 68039493 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number:… more
- Elevance Health (Tampa, FL)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… 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 ... with heart, each and every day. **Position Summary** The ** Claim Field Analyst ** acts as the primary...assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... organization. This cost management role would consist of proactive claim administration for workers' compensation claims by...seasonal associates are ineligible for Paid Time Off._** + Medical + Dental + Vision + Flexible spending accounts… 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
- 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... will be accountable for all aspects of property claim recordkeeping including catastrophic and complex claims … more
- Molina Healthcare (FL)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Molina Healthcare (St. Petersburg, FL)
- …+ QNXT **Job Qualifications** **REQUIRED QUALIFICATIONS:** + 5+ years of experience in medical claims processing, research, or a related field. + Demonstrated ... **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support...cause analysis, and project management. + Advanced knowledge of medical billing codes and claims adjudication processes.… 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 ... you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic… more
- Public Consulting Group (Tallahassee, FL)
- … claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... and denied claim research results, final remittance advice processing, and medical record reviews that will include discussion with internal management to ensure… more
- Elevance Health (Miami, FL)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... 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
- Sedgwick (Jacksonville, FL)
- …The Bill Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and ... **ESSENTIAL FUNCTIONS AND RESPONSIBILITIES** + Reviews legal invoices associated with medical malpractice claims to verify accuracy, reasonableness, and… more
- Elevance Health (Miami, FL)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to...Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's… more
- Bombardier (Opa Locka, FL)
- …system updates and close the work order + Manage OEM invoice disputes and claims (from claim filing to resolving disputes and securing payments) + Support ... competitive Benefits Program, which includes the following: + Insurance plans _(Dental, medical , life insurance, disability, and more)_ + Competitive base salary +… more
- RxBenefits (Jacksonville, FL)
- RxBenefits is hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team. The Analyst will work closely with our Business ... Development team to achieve sales goals. The Analyst may work remotely or in our Birmingham, AL...+ Validate differing types of datasets from dozens of medical vendors and dozens of PBMs to ensure it… more
- Elevance Health (Tampa, FL)
- **Cost of Care/Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- MyFlorida (Tallahassee, FL)
- …Preference may be given for previous work experience with disability or insurance claims , medical office, social work or government programs. Florida Department ... OPS RECORDS ANALYST - 64858479 Date: Dec 4, 2025 The...assist us with the processing of Social Security disability claims . This position requires the incumbent have good oral… more
- Elevance Health (Lake Mary, FL)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- Prime Therapeutics (Tallahassee, FL)
- …analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst … more