• Claims Business Analyst II

    Centene Corporation (Tallahassee, FL)
    …in Florida. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business ... processes. + Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation. + Identify ways to enhance… more
    Centene Corporation (09/09/24)
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  • Performance Assurance Analyst - Property…

    Sedgwick (Tallahassee, FL)
    …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... to meet established operational and technical audit requirements. + Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and national… more
    Sedgwick (08/30/24)
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  • Senior Business Process Analyst

    Highmark Health (Tallahassee, FL)
    …+ Bachelor's Degree **EXPERIENCE** **Required** + 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or experience ... significant amounts of information and analyzes processes to support business unit needs. **ESSENTIAL RESPONSIBILITIES** + Understand operational objectives and… more
    Highmark Health (08/16/24)
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  • Data Analyst , RWD

    Norstella (Tallahassee, FL)
    Data Analyst , RWD Company: Citeline Location: Remote, United States Date Posted: Sep 9, 2024 Employment Type: Full Time Job ID: R-406 **Description** **About ... help our customers seize opportunities, mitigate risk and make business -critical decisions, faster. As the pharma and healthcare sector...this time. **Job Description** We are seeking a Data Analyst with strong SQL experience to join our team.… more
    Norstella (08/07/24)
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  • Financial Examiner/ Analyst II

    MyFlorida (Tallahassee, FL)
    …. Requisition No: 835691 Agency: Business and Professional Regulations Working Title: ... FINANCIAL EXAMINER/ ANALYST II - 79011258 Date: Aug 19, 2024...Open Competitive** Our Organization and Mission: The Department of Business and Professional Regulation (DBPR) is the agency charged… more
    MyFlorida (08/20/24)
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  • BSWHP - Tx Medicaid Encounter Analyst

    Baylor Scott & White Health (Tallahassee, FL)
    **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... **ESSENTIAL FUNCTIONS OF THE ROLE** + Monitors and oversees the end-to-end claims encounter management workflow. + Analyzes claims and supplemental data… more
    Baylor Scott & White Health (09/13/24)
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  • Operations Analyst I

    MyFlorida (Tallahassee, FL)
    OPERATIONS ANALYST I - 64081024 Date: Sep 14, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 826283 Agency: Department of Health Working Title: OPERATIONS ANALYST I - 64081024 Pay Plan: Career Service Position Number: 64081024 Salary:… more
    MyFlorida (09/14/24)
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  • Senior Analyst - Health Informatics

    Norstella (Tallahassee, FL)
    Senior Analyst - Health Informatics Company: Norstella Location: Remote, United States Date Posted: Sep 11, 2024 Employment Type: Full Time Job ID: R-541 ... and India. **Job Description** We are seeking a Senior Analyst to join our team and support our data-driven...industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes & EHRs). **Key Duties and… more
    Norstella (09/11/24)
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  • Insurance Analyst IV

    MyFlorida (Tallahassee, FL)
    INSURANCE ANALYST IV - 43001392 Date: Sep 11, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 837282 Agency: Office of Insurance Regulation Working Title: INSURANCE ANALYST IV - 43001392 Pay Plan: Career Service Position Number: 43001392… more
    MyFlorida (09/12/24)
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  • Senior Health Informatics Analyst

    Prime Therapeutics (Tallahassee, FL)
    …drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst **Job Description Summary** Design, document, develop and roll out financial, ... Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
    Prime Therapeutics (09/15/24)
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  • Sr IT Analyst

    Prime Therapeutics (Tallahassee, FL)
    …passion and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign ... business , IT or operational processes using scientific approaches such...analyze log files. + Experience working with industry standard claims , billing or EHR systems. **Work Experience** Work Experience… more
    Prime Therapeutics (09/15/24)
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  • Data Analyst IV Quality

    Centene Corporation (Tallahassee, FL)
    …on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other ... Data Analysts. + Provide advanced analytical support for business operations in all or some of the following...operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy,… more
    Centene Corporation (09/11/24)
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  • Data Analyst III

    Centene Corporation (Tallahassee, FL)
    …- Must reside in FL **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data ... Analysts. + Provide advanced analytical support for business operations in all or some of the following...operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy,… more
    Centene Corporation (09/15/24)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Tallahassee, FL)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... lower level HMIG Underwriters. **ESSENTIAL RESPONSIBILITIES** + Responsible for a book of business of renewing accounts and writing new business at profitable… more
    Highmark Health (07/23/24)
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  • Employment Program Specialist - 1

    MyFlorida (Tallahassee, FL)
    …Responsibilities: Under the general supervision of the Benefits Program Supervisor/ Analyst , reviews and analyzes Fraud, Non-Fraud and Non-Monetary overpayment ... to enhance knowledge, skills, and abilities. Responsible for reviewing and handling claims associated with CONNECT Workflow Queues, Corrected Desk Pay Order (DPO's),… more
    MyFlorida (09/14/24)
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  • Administrative Assistant II

    MyFlorida (Tallahassee, FL)
    …. Requisition No: 837092 Agency: Business and Professional Regulations Working Title: ... Division of Florida Condominiums, Timeshares and Mobile Homes Government Analyst II Position Number: 79001466 Hiring Salary: $54,000.00 - $58,000.00… more
    MyFlorida (09/11/24)
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  • Director, Client Analytics - Healthcare Experience…

    Evolent Health (Tallahassee, FL)
    …creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director, Client Analyst role ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Evolent Data Warehouse tables, including medical, pharmacy and ancillary claims data, membership data, clinical operational data (UM &… more
    Evolent Health (09/07/24)
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  • Network Economic Financial Consultant

    Prime Therapeutics (Tallahassee, FL)
    …Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create ... new business insights and strategies for Prime's financial pricing programs...5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + 3 years… more
    Prime Therapeutics (09/15/24)
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  • Associate Technical Services Engineer

    HealthEdge Software Inc (Tallahassee, FL)
    …shell scripts/script execution + 1+ years of SQL experience + 1+ years of Business Analyst experience + Strong knowledge and capability of utilizing MS Excel, ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration… more
    HealthEdge Software Inc (09/11/24)
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