- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** The Claims Analyst will assist the Manager of Risk Management in the implementation of the corporation's property and casualty risk management ... communication of programs to business units, and departmental accounting. **RESPONSIBILITIES** The Claims Analyst will support the Risk Management team in… more
- Molina Healthcare (Jacksonville, FL)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** * Serves as … 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 ... ideas and collaborate on projects without the extensive demands of travel. The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients,… more
- Sedgwick (Jacksonville, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain robust, scalable ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Robert Half Management Resources (Jacksonville, FL)
- Description We are looking for a skilled Revenue Cycle Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with ... healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a strong… more
- Molina Healthcare (Jacksonville, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- Sedgwick (Jacksonville, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Sr **PRIMARY PURPOSE OF THE ROLE** : To create comprehensive reporting and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Sedgwick (Jacksonville, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Sedgwick (Jacksonville, FL)
- …in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage Sedgwick's Workforce Analytics ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- TEKsystems (Jacksonville, FL)
- My client, a reputable hospital, is hiring for a remote Charge Integrity Analyst with competitive pay and growth opportunity! Job Description: + The Charge Integrity ... Analyst is tasked with working out of Epic work...have a strong understanding of Revenue Cycle, experience handling claims , and be able to work independently. Qualifications to… more
- Bank of America (Jacksonville, FL)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, Massachusetts; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/Fraud-Analytics-and-Innovation-Lead- Analyst Fraud-Strategy\_25042825-2) **Job Description:** At Bank of America, we… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Citigroup (Jacksonville, FL)
- The Fraud Ops Sr Analyst is a senior level positions responsible for contributing to the development of fraud management policies, processes and procedures to ... of advanced statistical models + Proven experience in the Investigation and Fraud claims process + Experience in trend analysis and alerts in early fraud detection… more
- Molina Healthcare (Jacksonville, FL)
- …care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of ... claim system configurations, payment policies, and audit processes. + Exceptional analytical, problem-solving, and documentation skills. + Ability to translate complex business problems into clear system requirements and process improvements. + Proficiency in… more
- Sedgwick (Jacksonville, FL)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... years of related experience to include one (1) year as an Account Coordinator, analyst , associate or three (3) years adjuster experience. **TAKING CARE OF YOU** +… more
- Syms Strategic Group, LLC (SSG) (Jacksonville, FL)
- …Board (ISTQB), Certified Software Testing Engineer (CSTE), Certified Software Quality Analyst (CSQA)) Years of Professional Experience 10 or more years of ... assurance Desired experience Electronic Data Interchange X.12 (EDI) Medical Claims + X.12 medical claims (837, 834,...X.12 (EDI) Medical Claims + X.12 medical claims (837, 834, 277, etc) A familiarity with cloud-based… more