- Public Consulting Group (Tallahassee, FL)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- CAI (Tallahassee, FL)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited ... case assignments. **Job Description** We are looking for a ** Claims Processor Analyst ** , you will receive,...claims **What You'll Need** Required: + At least 1 year of experience in health insurance claims… more
- MyFlorida (Tallahassee, FL)
- VICTIM COMPENSATION CLAIMS ANALYST - 41000609 Date: Jan 31, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Office of the Attorney General Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41000609 Pay Plan: Career...(i-9). REMINDERS: Male applicants born on or after October 1 , 1962, will not be eligible for hire or… more
- MyFlorida (Tallahassee, FL)
- SENIOR BENEFITS ANALYST - 40065026 1 Date: Jan 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 845594 Agency: Commerce Working Title: SENIOR BENEFITS ANALYST - 40065026 1 Pay Plan: Career...research and retrieval of information related to reemployment assistance claims and appeals to assist with RAAC's appeal review… more
- Prime Therapeutics (Tallahassee, FL)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- MyFlorida (Tallahassee, FL)
- 68039526 - GOVERNMENT ANALYST II Date: Jan 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... for Health Care Administration Working Title: 68039526 - GOVERNMENT ANALYST II Pay Plan: Career Service Position Number: 68039526...state agencies, AHCA's diverse workforce community of more than 1 ,400 employees is proud of its efforts to serve… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems Analyst (BSA) IT is ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **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
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- MyFlorida (Tallahassee, FL)
- 68900064 - OPS REGULATORY ANALYST III Date: Jan 30, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Health Care Administration Working Title: 68900064 - OPS REGULATORY ANALYST III Pay Plan: Temp Position Number: 68900064 Salary:...state agencies, AHCA's diverse workforce community of more than 1 ,400 employees is proud of its efforts to serve… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Basic to intermediate SAS coding skills… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead some initiatives within their designated… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** + Must have active, current and unrestricted LBA (Licensed Behavioral Analyst ) or BCBA (Board Certified Behavior Analyst ) in state of ... of experience with MS Office Suite applications (Teams, Outlook, Word, Excel, etc.) + 1 + year(s) of experience with electronic medical records + Must be willing and… more
- Prime Therapeutics (Tallahassee, FL)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Baylor Scott & White Health (Tallahassee, FL)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- MyFlorida (Tallahassee, FL)
- …responsible administrative position under the direct supervision of the Senior Management Analyst Supervisor in the Bureau of Central Intake and Licensure, License ... + Grammar skills. Minimum Requirements : + Must have one ( 1 ) year of experience interpreting, implementing, administering and/or communicating policies and… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Prior experience as a Business Intelligence Developer or Data Analyst supporting business intelligence, reporting, analytics or data warehouse projects. + ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.) + Related industry experience. +… more
- Prime Therapeutics (Tallahassee, FL)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more