- Molina Healthcare (Orlando, 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
- 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** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… 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 cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL… more
- Robert Half Office Team (Orlando, FL)
- Description We are looking for a highly organized and detail-oriented Benefits Analyst to join our team in Orlando, Florida. This Contract-to-permanent position ... Responsibilities: * Monitor and record weekly medical and prescription claims , ensuring accurate documentation and timely processing. * Gather, evaluate,… more
- AdventHealth (Altamonte Springs, FL)
- …competence in Contract Administration. Under minimal supervision, provides necessary research , review and interpretation of Insurance Provider Manuals, payment ... of regulatory changes that impact estimated reimbursement. * Ensures thorough research and validation of non-contracted and government payer information * including… more