- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, ... and accurate reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims … more
- Prime Therapeutics (Tallahassee, FL)
- …Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT is responsible for serving as a ... stakeholders, development team and broader project team. The BSA Sr IT is also responsible for partnering with the...to educate and advance the business systems analyst practice within the Claims IT team… more
- Healthfirst (FL)
- …systems enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up ... + Lead and deliver projects related to the development and configuration of new business , member benefits and products, claims editing, reference data and their… more
- Health First (Rockledge, FL)
- …pricing of new products and product enhancements. Collaborate with Decision Support, Underwriters, Claims , and Senior Management to develop plans for new lines ... and service. **Job:** **Underwriting* **Organization:** **HF Administrative Plan Inc* **Title:** * Sr Actuarial Analyst - Actuarial and Underwriting (must reside… more
- Prime Therapeutics (Tallahassee, FL)
- …we make. **Job Posting Title** Sr . Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Molina Healthcare (St. Petersburg, 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...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… 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...claims reporting, investigation, and depositions. + Workers' Compensation claims resource to corporate and business unit… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (FL)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… 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 ... Atlanta, GA, or Indianapolis, IN. The **Power BI** **Bu** **siness Information Analyst Senior ** is responsible for analyzing, reporting, and developing… more
- AdventHealth (Altamonte Springs, FL)
- ** Senior Medicare Data & Finance Analyst ** **Location:** Virtual **All the benefits and perks you need for you and your family:** + Benefits from Day One + ... Full-Time, Monday - Friday **The role you'll contribute:** The Senior Medicare Data & Finance Analyst is...insights that improve operational, clinical, and financial performance. The Analyst will use healthcare data ( claims , labs,… more
- Prime Therapeutics (Tallahassee, FL)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven ... data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the opportunity for impact and… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior Analyst ... Analysts and Epic Analysts on the team. The Epic Senior Analyst , Resolute Professional Billing initiates the...documentation and training strategies. + Works with stakeholders, the business community, and end users to ensure the application… more
- University of Miami (Miami, FL)
- …"UHealth", Information Technology Department has an exciting opportunity for a full time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior ... Analysts and Epic Analysts on the team. The Epic Senior Analyst initiates the implementation, builds, and...training strategies . + Work s with stakeholders, the business community, and end users to ensure the application… more
- University of Miami (Miami, FL)
- …neurosurgery 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...documentation and training strategies. + Works with stakeholders, the business community, and end users to ensure the application… more
- NextEra Energy (North Palm Beach, FL)
- ** Senior Risk Management Analyst ** **Date:** Dec 17, 2024 **Location(s):** North Palm Beach, FL, US, 33408 **Company:** NextEra Energy is America's largest ... Specific Description** Join Florida Power & Light as a Senior Risk Management Analyst . Main responsibilities are...risk of loss to company property and manages property claims , acting as liaison between business units,… more
- Evolent (Tallahassee, FL)
- …mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between institutional vs… more