- Molina Healthcare (Miami, FL)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** As a Claims Resolution Analyst , you will be at the forefront of ensuring the accuracy and efficiency of our claims process. Your key ... to determine their validity, make final decisions on escalated claims , and research validation issues to recommend...make final decisions on escalated claims , and research validation issues to recommend appropriate solutions. + **Dashboard… more
- Carrington (Jacksonville, FL)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... to mitigate losses for both Carrington Mortgage Services and its clients. Research must be completed on incurred losses to determine responsibility, find bill… more
- Cognizant (Tallahassee, FL)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... systems and capabilities in order to participate in project activities and research requests on an ongoing basis; Assist in obtaining consensus by facilitating… more
- AdventHealth (Maitland, FL)
- … claims data + Works alongside Senior Medical Economics Analyst in identify risk/exposure associated with various reimbursement structures. Produce prospective ... Maitland FL** **The role you'll contribute:** **A Medical Economics Analyst is responsible for supporting the Senior Medical Economics...value you'll bring to the team:** + Assisting in Research and analyzes managed care data from the various… more
- AdventHealth (Maitland, FL)
- …(Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data ... schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in...Markets. **The value you'll bring to the team:** + Research and analyzes managed care data from the various… more
- Elevance Health (Miami, FL)
- **Title: Grievance/Appeals Analyst I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... and ensures essential face-to-face onboarding and skill development. The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance… more
- MyFlorida (Orlando, FL)
- GOVERNMENT ANALYST I - 79011410 Date: May 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 853576 Agency: Business and Professional Regulations Working Title: GOVERNMENT ANALYST I - 79011410 Pay Plan: Career Service Position Number: 79011410… 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
- Northrop Grumman (Melbourne, FL)
- …Grumman Aeronautics Systems** sector is seeking a **Principal / Sr. Principal** **Price/Cost Analyst (Level 3 or 4)** to join its growing team of diverse ... at supplier sites and request DCAA Assist Audits when applicable. + **Market Research :** Conduct market research , analyze historical data, and develop cost… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Regulatory Analyst 1 to work remotely. CORE JOB SUMMARY The Regulatory Analyst 1 ... tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS Analyzes regulatory requirements, identifies potential… more
- University of Miami (Miami, FL)
- …System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr. Analyst - Quality and Population Health. The Epic Sr. Analyst - Quality ... and procedures and safeguards University assets. Department Specific Functions: As an Epic Analyst - Quality and Population Health, you will: + Build and maintain… 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
- Evolent (Tallahassee, FL)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... with a quantitative major (eg actuarial, statistics, biostatistics, operations research , mathematics, economics) or healthcare major (health administration, epidemiology,… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... + Review provider dispute resolutions according to organizational guidelines. + Research and respond to provider participation and pricing inquiries related to… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... **Additional Qualifications** + Advanced troubleshooting skills, including in-depth client data research , which may involve research and drivers of utilization;… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those ... directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial, economic, and other data to provide… more
- Highmark Health (Tallahassee, FL)
- …+ Intake operational objectives and gather information. May perform routine research and evaluate basic output requirements and formats. Communicate business ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- ChenMed (Miami, FL)
- …expanding and we need great people to join our team. The Actuarial Services Analyst - Service Fund is responsible for managing and tracking the risk positions ... process improvement, solution assessment, etc. + Analyzes and validates payer claims data, funding data, underlying capitations, settlement terms, and contractual… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research , development, and completion of special performance improvement projects… more