- 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
- Zelis (St. Petersburg, FL)
- …focused on supervising a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to verify ... and operational support to the Manager, Clinical Chart Review, Sr . Level Clinicians and Operations Analysts as directed by...output and queues for timely and proper management of claims . + Ensure client turnaround times and specific processing… more
- CRC Insurance Services, Inc. (FL)
- …following job description:** Responsible for managing and resolving complex insurance claims involving litigation, coverage disputes, and high exposure. This role ... then hire attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3. Work with adjusters, insureds,… more
- Sedgwick (Tallahassee, FL)
- …Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an opportunity to join a global industry leader where you ... background in insurance coverage analysis? We're seeking an experienced attorney or senior level examiner with a strong background in insurance coverage analysis to… more
- Zurich NA (Tallahassee, FL)
- Auto Claims Call Center Senior Represent 127692...Amazing PTO + 401K Match + Career mobility + Medical , Vision & Dental Required: + High School Diploma ... identify opportunities for customer care's improvements. + Handle first and third-party claims taking responsibility to resolve all enquiries from both customer and… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… 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
- CVS Health (FL)
- …with heart, each and every day. **Position Summary** A Quality Assurance Senior Analyst reviews business requirements and translates them into clear, actionable test ... and hands-on experience. **Preferred Qualifications** + Background in healthcare or claims processing experience. + Experience with Aetna claims processing… 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 (Tallahassee, 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
- Fujifilm (Tallahassee, FL)
- …The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will be an experienced commercial transactions lawyer, responsible for working ... **Position Overview** We are hiring a Senior Counsel to be an integral part of...part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and… more
- University of Miami (Medley, FL)
- …listed in patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist and document co-pay. ... work in a team environment. + Graceful under pressure and stressful situations Sr . Insurance Verification Representative + High School Diploma or equivalent + (3)… more
- Norstella (Tallahassee, FL)
- Senior Analytic Consultant Company: MMIT Location: Remote , United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** ... The Netherlands, Japan, China and India. **The Role: RWD Senior Analytic Consultant** We are currently seeking a high...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more
- Molina Healthcare (Jacksonville, 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
- CenterWell (Tallahassee, FL)
- …part of our caring community and help us put health first** The Senior Informaticist coordinates with other analytics, IT and business areas across the organization ... to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist work assignments involve moderately complex to complex issues where the… more
- UIC Government Services and the Bowhead Family of Companies (Pensacola, FL)
- **Overview** Subcontracts Administrator (SUBK-2025-23894): Bowhead seeks a Senior Subcontracts Administrator to provide support for the preparation of solicitations, ... (a few days in office and a few days remote per week). **Responsibilities** Job Duties include but are...interface with company management and staff as well as senior management of suppliers, team members and subcontractors. +… 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
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …of the Quality Systems and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment with Company ... years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Mass Markets (FL)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... passion for building strategic partnerships and driving revenue? We're seeking a Senior Business Development Executive to lead new client acquisition, manage key… more