- Kemper (Miami, FL)
- … Claims organization. **Position Responsibilities:** + Developing understanding of the P&C Claims business in order to support key claim projects with metrics ... the claims organization and leadership on strategic goals and business initiatives. + Ability to maintain confidential and trust-based relationships within the… more
- Molina Healthcare (Miami, FL)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- University of Miami (Medley, FL)
- …. The University of Miami/UHealth Department of Central Business Office has an exciting opportunity for a full-time ... _ to work in Miami, FL. The Revenue Cycle Analyst ensures that the department is accurately processing patient and financial data to maximize revenue while… more
- ChenMed (Miami, FL)
- …we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support ... through the ability to leverage data and analytic skills to create business intelligence-identifying risks to be mitigated or opportunities to be seized. The… more
- MyFlorida (Margate, FL)
- DESKTOP ENGINEER (SYSTEMS PROJECT ANALYST - 79010023) Date: Mar 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... E-Verify Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 848987 Agency: Business and Professional Regulations Working Title: DESKTOP ENGINEER (SYSTEMS… more
- Elevance Health (Miami, FL)
- …a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The **Test Analyst ( Business Analyst III)** will be responsible for serving ... **Test Analyst - Pharmacy Benefit Management (PBM)** **Location:** Alternate...as the liaison between the business and IT in translating complex business … more
- University of Miami (Miami, FL)
- …System IT Department has an opportunity for a full-time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior Analyst , Resolute Professional ... Epic Analysts and Epic Analysts on the team. The Epic Senior Analyst , Resolute Professional Billing initiates the implementation, builds, and modifies of the… more
- University of Miami (Miami, FL)
- …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 leads the Associate...documentation and training strategies. + Works with stakeholders, the business community, and end users to ensure the application… more
- Molina Healthcare (Miami, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Miami, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Molina Healthcare (Miami, 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
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Remote Regulatory Analyst 1. CORE JOB SUMMARY: The SCCC department is seeking a Regulatory Analyst ... and testing the revised treatment matrix which will identify possible cancers from claims data. The RA1 will facilitate the process of preparing required regulatory… more
- Molina Healthcare (Miami, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in contracts and benefits configuration. + Strong background in claims is required. + Experience working on Networx, QNXT… more
- Sedgwick (Miami, FL)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Data Analyst **PRIMARY PURPOSE** : To create comprehensive reporting and analysis of… more
- Molina Healthcare (Miami, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Molina Healthcare (Miami, FL)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Molina Healthcare (Miami, 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 (Miami, FL)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... exhibits and data visualizations to illustrate key trend drivers + Work with business owners to track performance indicators of medical interventions + Extract and… more
- Elevance Health (Miami, FL)
- …and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, ... **HEDIS Business Information Consultant** **Location:** This position will take...analysts. The position is part of the **Enterprise HEDIS Analyst Team** . It will be responsible for working… more
- The Hartford (Coral Gables, FL)
- Reinsurance Analyst - RB08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... million + 70+ colleagues managing underwriting, distribution, actuarial, finance, contract, claims , information technology and operations + A global footprint with… more