- Molina Healthcare (Orlando, FL)
- …trends or discrepancies related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims … 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
- Molina Healthcare (Orlando, FL)
- **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. ... The analyst will support existing lines of business and expansion...Technical Configuration and Configuration Information Management. **Job Duties** + Research , review, and decipher state-specific Medicaid and Medicare reimbursement… more
- Molina Healthcare (Orlando, FL)
- …around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research , analysis and modeling of complex healthcare claims data, ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...provides insights needed to support strategic investment decisions + Research and develop reports and analyses for senior management… more
- Molina Healthcare (Orlando, FL)
- …+ Actively participates in all stages of project development including research , design, programming, testing and implementation to ensures the released product ... technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified Business Analysis… more
- AdventHealth (Maitland, FL)
- …competence in Contract Administration. Under minimal supervision, provides necessary research , review and interpretation of Insurance Provider Manuals, payment ... mindful of regulatory changes that impact estimated reimbursement. Ensures thorough research and validation of non-contracted and government payer information *… more