- TEKsystems (Tampa, FL)
- …& Qualifications + Extensive understanding of the Revenue Cycle + Experience working as a Medical Claims Analyst + Experience and knowledge in Medical ... refund resolution. The ideal candidate will have strong analytical skills, medical claims experience, and the ability to navigate complex systems while… more
- Molina Healthcare (St. Petersburg, FL)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION Job Summary Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- MyFlorida (St. Petersburg, FL)
- HUMAN SERVICES PROGRAM ANALYST - 64004525 1 Date: Dec 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 866435 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM ANALYST - 64004525 1 Pay Plan: Career Service Position Number: 64004525 Salary:… 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
- 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...and clinical policies, supporting the Office of the Chief Medical Officer in managing disputes related to claim reviews.… 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 and ... Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively… more
- Elevance Health (Tampa, FL)
- **Financial Operations Analyst Lead** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. **Location:** Tampa, FL, Norfolk, VA The **Financial Operations… more
- Elevance Health (Tampa, FL)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- Elevance Health (Tampa, FL)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... required by law. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Sedgwick (Tampa, 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 ... growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401k, PTO and more. \#IT \#informationtechnology Work… more
- Sedgwick (Tampa, 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 ... growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401k, PTO and more. \#IT \#informationtechnology Work… more
- Sedgwick (Tampa, FL)
- …in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage Sedgwick's Workforce Analytics ... growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401k, PTO and more. \#IT \#informationtechnology Work… more
- Elevance Health (Tampa, FL)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Bank of America (Tampa, 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
- 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
- Molina Healthcare (St. Petersburg, FL)
- …and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and… more
- Molina Healthcare (St. Petersburg, FL)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Molina Healthcare (St. Petersburg, FL)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Molina Healthcare (St. Petersburg, FL)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in… more
- Syms Strategic Group, LLC (SSG) (St. Petersburg, FL)
- …in software testing and quality assurance Desired experience Electronic Data Interchange X.12 (EDI) Medical Claims + X.12 medical claims (837, 834, ... Board (ISTQB), Certified Software Testing Engineer (CSTE), Certified Software Quality Analyst (CSQA)) Years of Professional Experience 10 or more years of… more