- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking a ** Claims Analyst ** to join the Office of General Counsel division. At OUC, we don't just work - ... Florida statutes to review and analyze property and liability claims for OUC. In this role, you will investigate,...In this role, you will investigate, negotiate, and settle claims in a professional, equitable, and consistent manner. You… more
- Molina Healthcare (Orlando, FL)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
- Molina Healthcare (Orlando, FL)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), provider and benefit ... configuration, and other claim reimbursement drivers + Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. + Reviews, researches, analyzes and evaluates all… more
- AdventHealth (Maitland, FL)
- …(Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in decision support and… more
- AdventHealth (Altamonte Springs, FL)
- …identifying and sharing insights that improve operational, clinical, and financial performance. The Analyst will use healthcare data ( claims , labs, MMR data, EHR ... **Senior Medicare Data & Finance Analyst ** **Location:** Virtual **All the benefits and perks...role will include leveraging data from electronic health records, claims , and payer reports by means of SQL queries,… more
- Sedgwick (Orlando, FL)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Systems Analyst Specialist **PRIMARY PURPOSE** : To review, analyze and document software ... combination of education and experience required. Experience in multi-line claims management processes and system requirements preferred. **Skills & Knowledge**… more
- AssistRx (Orlando, FL)
- The Data Quality Analyst is responsible for acquiring, managing and analyzing data that will be presented to internal teams, clients and partners. The Data ... Analyst leads the onboarding of electronic data trading partners...issues. Successful applicants will have experience with Excel Pharmacy Claims experience is a huge plus Requirements + Developing… 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 candidates ... GA, or Indianapolis, IN. The **Power BI** **Bu** **siness Information Analyst Senior** is responsible for analyzing, reporting, and developing recommendations on… more
- Molina Healthcare (Orlando, FL)
- …Description** Who you are : + You have proven experience as a QA Analyst within an Agile environment. + Experienced testing on-premise and cloud based ETL/BI ... You can prioritize. + You have experience with QNXT, claims processing , healthcare insurance and SQL + You...QA role within our Agile team is a Senior Analyst position dedicated to ensuring the highest quality standards… more
- Molina Healthcare (Orlando, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... completion dates with Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and configuration of all… more
- Abbott (Orlando, FL)
- …solutions are helping address some of the World's greatest healthcare challenges. As the Analyst I, QA, you'll have the chance to analyze and audit claims , ... auditing Insurance Verification, Billing, Collections, and Payment posting functions. + Review claims for insurance carriers and tracking the status of payments. +… more