- 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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- City of Boca Raton (Boca Raton, FL)
- …program. + Assists and advises employees on benefits matters regarding eligibility, claims resolution , coverage, and provisions. + Assist in coordinating and ... Benefits Analyst Print (https://www.governmentjobs.com/careers/bocaratonfl/jobs/newprint/4969852) Apply Benefits Analyst Salary $70,720.00 - $90,000.00… 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
- HCA Healthcare (Ocala, FL)
- …want to join an organization that invests in you as a Billing Integrity Analyst Credentialed? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Billing Integrity Analyst Credentialed like you to be a part of...based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay… more
- Teva Pharmaceuticals (Weston, FL)
- Pricing & Contract Analyst I Date: Jun 6, 2025 Location: Weston, United States, Florida, 33326 Company: Teva Pharmaceuticals Job Id: 62318 **Who we are** Together, ... difference, and new people to make a difference with. **The opportunity** The Pricing Analyst I is a professional with technical and pricing training who will use… 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 ... them. + Supports junior staff members in the evaluation and resolution of service tickets, identification and implementation of application changes, retrieval… 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 ... reporting + Proactively investigates and builds recommendations for enhancements or resolution regarding key drivers of benefit performance, trends and obstacles in… more
- Cognizant (Tallahassee, FL)
- …modern technologies to transform a variety of business operations. The **Encounters Analyst ** plays a critical role in ensuring the accurate and timely submission ... This role requires close collaboration with cross-functional teams, proactive issue resolution , and a commitment to continuous process improvement to support… 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
- Molina Healthcare (Orlando, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of...Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience… more
- Highmark Health (Tallahassee, FL)
- …medium projects, when applicable. + Accountability for escalated or complex issue resolution . + Develop business and pharmacy benefit solutions to satisfy mutually ... agreed upon goals and objectives; conduct problem solving resolution and decision making sessions for complex issues and projects; promote a culture of performance… more
- MUFG (Tampa, FL)
- …/Money Market inquiries as well as cases requiring compensation payments and/or claims in accordance with established regulations. Ensuring all cases are verified in ... + Able to utilize internal & external resources required for the timely resolution of assigned cases. + Maintain thorough and accurate records, facilitating unit… more
- Butterfly Effects (Deerfield Beach, FL)
- …EOB's to resolve claim issues. + Review clearing house for denials and corrected claims submitted. + Correct and resubmit claims denied for billing errors when ... that are not paying correctly or are incorrectly denying claims on a regular basis, and work with management...to develop a plan of action to obtain a resolution on these accounts. Qualifications: + High School Diploma… more
- HUB International (Tallahassee, FL)
- …service and claim representatives) and client contacts. + Confidentially assist with all claims matters and bring to resolution with proper documentation and ... a liaison between the client and insurance carriers for service, enrollment, claims and administration; constantly maintaining quality and service standards as it… more