- TEKsystems (Orlando, FL)
- Senior Medical Claims Analyst ( Remote ) Contract Duration: Through January 2026 (with potential for extension) Location: Remote (US based) Schedule: ... About the Role We're seeking a detail-oriented and analytical Senior Claims Analyst to join our team....strong technical skills and a background in pharmacy or medical claims . You'll play a key role… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- The Hartford (Lake Mary, FL)
- Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE We're determined to make a ... team as we help shape the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer service… more
- Molina Healthcare (Orlando, 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
- Sedgwick (Orlando, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Scientist ( REMOTE ) Data Scientist ( Remote ) **PRIMARY PURPOSE OF THE ROLE:** To develop ... RESPONSIBLITIES MAY INCLUDE** + Execute data science projects as identified by Sr Data Scientists, leadership, and stakeholders + Help to build, prototype, and… more
- Molina Healthcare (Orlando, FL)
- …Mathematics, Statistics, or Economics **PREFERRED EXPERIENCE:** Experience working with medical and pharmacy claims , authorization data, benefits design, ... **Job Description** **Job Summary** Provides consultative support and medical cost-based analysis of markets and network initiatives. The Medical Economics… more
- Danaher Corporation (Orlando, FL)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...Value and Access team. This position will be a remote position ideally located in the South East part… more
- Danaher Corporation (Orlando, FL)
- …effectively coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a ... coding and reimbursement. + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement. + Respond to and… more
- Stryker (Orlando, FL)
- The Senior Manager, Compliance Investigations (Americas) is an integral part of the strategic expansion of Stryker's compliance and ethics function. The position ... and reports to the Regional Investigations Director (Americas). **Work arrangement:** Remote within the United States (Eastern or Central time zones preferred).… more
- Kemper (Orlando, FL)
- …maximize the account/company relationship for Personal and Commercial Auto products. + Remote Position - Hybrid sales calls (phone & in-person). 40-60% field travel ... requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. +...eligible for an annual discretionary bonus and Kemper benefits ( Medical , Dental, Vision, PTO, 401k, etc.) + This is… more
- AdventHealth (Altamonte Springs, FL)
- …skills is essential. Additionally, working knowledge and understanding of major medical claims , insurance contracts, and the traditional actuarial functions, ... Monday Friday 8:00am to 5:00pm **Location:** Altamonte Springs, FL ( Remote ) **The role you'll contribute:** Population Health Services (PHSO)...eg, claims completion, seasonality analysis, risk scoring, and stop loss… more
- Syms Strategic Group, LLC (SSG) (Orlando, FL)
- …field, particularly in production environments Desired experience Electronic Data Interchange X.12 (EDI) Medical Claims + X.12 medical claims (837, ... Syms Strategic Group (SSG) is seeking a talented Systems Engineer ( Senior ) Location: Remote Department: Veterans Affairs (VA) Type: Full Time Min. Experience:… more
- Celestica (Orlando, FL)
- Req ID: 129127 Remote Position: Hybrid Region: Americas Country: USA **General Overview** **Functional Area:** Supply Chain Management (SCM) **Career Stream:** ... contract negotiations. + Supports quarterly business reviews with customers, and with senior management at key/strategic suppliers. + Provides input with respect to… more