- 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)
- …Springs, FL** **The role you'll contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, ... demonstrates attention to detail and competencies in contract language review, research , decision support, and financial analysis in the preparation and support… 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
- Orange County Sheriff's Office, Orlando, Florida (Orlando, FL)
- HRD Analyst - Risk Management Print (https://www.governmentjobs.com/careers/ocso/jobs/newprint/4934948) Apply HRD Analyst - Risk Management Location Orlando, ... education/experience. Related experience to include: Worker's Compensation, FMLA, Disability claims handlings, human resources, safety administration, insurance and benefits… 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)
- **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)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Orlando, FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- Molina Healthcare (Orlando, FL)
- …ability to work independently, self-navigate organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, ... for Patient Liability and Medicaid processes. **KEY RESPONSIBILITIES** + Perform research and analysis for inquiries and requests, utilizing technical tools as… 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
- AdventHealth (Maitland, FL)
- …from the payers in Athena/Epic and MSOW Network Management thus releasing held claims and updating the status report for the practices. + Reviews and resolves ... Commercial and Government program reimbursement rules and regulations + Ability to research and interpret Commercial and Government payer rules and regulations +… more