- Highmark Health (Tallahassee, FL)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Aston Carter (Deerfield Beach, FL)
- Job Title: Claims AnalystJob Description The Claims Payment Analyst is responsible for reviewing, analyzing, and processing claims payment requests for ... to internal policies and procedures. Responsibilities + Review and process claims payment requests for automotive repairs. + Determine the appropriate payment… more
- Deloitte (Tampa, FL)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... + Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims + Experience in performing configuration changes and system builds… more
- MetLife (Tampa, FL)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... processes supported. Required: * 3+ years of experience managing ADA claims . * Experience managing absence claims for a variety of customers and leave programs *… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims , assesses the reason for the escalation, and provides… more
- Molina Healthcare (Jacksonville, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… 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 ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- NextEra Energy (North Palm Beach, FL)
- …subsidiary and provides coverage to both affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the Claims ... **Sr Insurance Operations Analyst ** **Date:** Jun 3, 2025 **Location(s):** North Palm...Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs &… more
- Acosta Group (Jacksonville, FL)
- …high-severity Workers' Compensation and liability claims . Supervise the Sr. Risk Claims Analyst and ensure alignment with best practices. + Vendor and ... The Director will manage a team including the Sr. Risk Claims Analysts and collaborate closely with internal stakeholders, third-party administrators, brokers,… more
- AdventHealth (Altamonte Springs, FL)
- …spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain insights into ... **Health Plan Data Analyst ** **Location:** Virtual **All the benefits and perks...utilizing analytical software tools and applications + Health Plan claims data knowledge This facility is an equal opportunity… 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
- 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 ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in decision support and… more
- MyFlorida (Orlando, FL)
- GOVERNMENT ANALYST I - 79011410 Date: Jun 25, 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
- Elevance Health (Tampa, FL)
- **Business Analyst II** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... and adaptable workplace. Alternate locations may be considered. The **Business Analyst II** is responsible for translating basic business needs into application… more
- University of Miami (Miami, FL)
- …. The Media Innovation Lab has an exciting opportunity for a full-time Data Analyst to work onsite at the UHealth campus. The Data Analyst 1 ... performs basic data analysis using various techniques. The Data Analyst will play a critical role in supporting the...datasets (eg, All of Us Research Program, NHANES, CMS claims data) to support departmental research initiatives. + Supports… more
- City of Boca Raton (Boca Raton, FL)
- Benefits Analyst Print (https://www.governmentjobs.com/careers/bocaratonfl/jobs/newprint/4969852) Apply Benefits Analyst Salary $70,720.00 - $90,000.00 ... + Description + Benefits + Questions General Statement of Job The Benefits Analyst plays a critical role in supporting the administration, delivery, and continuous… 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 ... negotiation positions. + **Commerciality Reviews:** Support reviews of Subcontractor claims of "Commerciality" and Commercial Item Determinations. + **Pricing and… more
- NextEra Energy (Palm Beach Gardens, FL)
- **PGD Business Analyst I** **Date:** Jun 24, 2025 **Location(s):** Palm Beach Gardens, FL, US, 33410 **Company:** NextEra Energy **Requisition ID:** 88737 NextEra ... innovative, world-class team today! **Position Specific Description** The Warranty Analyst role in the Power Generation Division (PGD) Renewable...Duties: * Review and create site specific failed equipment claims . * Track progress of claims in… 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 ... recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the opportunity for impact and advancement within the… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more