- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- TEKsystems (Tampa, FL)
- …Handle refund requests, including overpayment analysis and reimbursement facilitation. - Claims Research & Resolution: Investigate discrepancies, and resolve ... Reporting: Create and maintain reports, pivot tables, and document research findings. -Follow-Ups: Ensure timely receipt of bills (within...the Revenue Cycle + Experience working as a Medical Claims Analyst + Experience and knowledge in… more
- Molina Healthcare (St. Petersburg, FL)
- …system tables in the user interface. * Applies experience and knowledge to research and resolve claim/encounter issues and pended claims , and updates system(s) ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
- Molina Healthcare (St. Petersburg, FL)
- …system tables in the user interface. * Applies experience and knowledge to research and resolve claim/encounter issues and pended claims , and updates system(s) ... JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely… more
- Zelis (St. Petersburg, FL)
- …that shape who you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility and provider disputes as ... will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence...reviews and provide support where needed for inquiries and research requests. + Create and present education to Expert… more
- MetLife (Tampa, FL)
- …group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers who collaborate to create innovative solutions to ... within MetLife. This role will conduct quality reviews of disability claims , collecting and analyzing quality opportunities, and delivering results and driving… more
- MetLife (Tampa, FL)
- Job Title Short Term Disability (STD) Senior Quality Analyst Job Location Virtual within a Commutable Distance of Aurora IL, Bloomfield, CT, Cary NC, Oriskany NY, or ... You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Quality Analyst is responsible for: * Virtual roles work from a home office with… more
- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… 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
- Elevance Health (Tampa, FL)
- …**Preferred Skills, Capabilities and Experiences:** + Strong knowledge and experience in claims analysis and research is preferred + Expert knowledge of ... **Financial Operations Analyst Lead** **Hybrid 1:** This role requires associates...spending. **Location:** Tampa, FL, Norfolk, VA The **Financial Operations Analyst Lead** is responsible for analyzing data and providing… more
- Molina Healthcare (St. Petersburg, 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 (St. Petersburg, 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 (St. Petersburg, 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
- Air National Guard Units (Macdill AFB, FL)
- …in work such as computer operator or assistant, computer sales representative, program analyst , or other positions that required the use or adaptation of computer ... science, engineering, information science, information systems management, mathematics, operations research , statistics, or technology management or degree that provided… more