- 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. Analyst , Claims Research serves as a senior -level subject matter expert in claims operations and research , leading the most… more
- ChenMed (Miami, FL)
- …we need great people to join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for proactively ... planning, process improvement, solution assessment, etc. + Analyzes and validates payer claims data. Assists markets to identify factors driving claims cost… more
- Molina Healthcare (Miami, FL)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Tampa, FL)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- CVS Health (Tallahassee, FL)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... Qualifications** - Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy… more
- Molina Healthcare (Miami, FL)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... trends + Works with internal, external and enterprise individuals as needed to research , develop, and document new standard reports or processes + Consolidates data… more
- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- WTW (Tampa, FL)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will ... **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… more
- Navy Federal Credit Union (Pensacola, FL)
- …reported by our members. The investigators responsibilities include validating claims , processing chargebacks, responding to merchant disputes, and ensuring ... with various levels of staff to accomplish tasks/assignments + Perform research and analysis; may include quantitative and/or qualitative analysis + Maintain… more
- Highmark Health (Tallahassee, FL)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more
- Elevance Health (FL)
- …healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures financial performance of core Carelon products leveraging ... ** Senior Health Economist - Managed Care** **Location:** This role requires... claims , authorization, and membership data to tell a detailed story to… more
- CVS Health (Tallahassee, FL)
- …Summary** The Senior Manager Analytic Consultant is an experienced customer-facing analyst who supports the Account Team's ability to craft a compelling story ... data into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book of Middle Market and… more