- WTW (Miami, FL)
- **Description** We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims ... such as supporting the effective management, analysis, and resolution of claims , ensuring accurate processing and timely communication between clients, reinsurers,… more
- Deloitte (Miami, FL)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team and… more
- Deloitte (Miami, FL)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... ideas and collaborate on projects without the extensive demands of travel. The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients,… more
- Molina Healthcare (Miami, FL)
- …and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To all current Molina employees: If you are interested in ... applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $128,519 / ANNUAL *Actual… more
- The Hartford (Sunrise, FL)
- …Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured ... Ability Analyst - C410ANSr Ability Analyst -...create a positive team environment that achieves Group Benefit Claims culture initiatives and objectives Qualifications: + 1+ yeas… more
- Molina Healthcare (Miami, FL)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Sedgwick (Miami, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill Review ... Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This position… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists Associate Epic Analysts on the ... to optimize the application's configuration, function, and access. The Epic Analyst 2 facilitates day-to-day application support and resolving application issues and… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central ... overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, systems, methods,… more
- Elevance Health (Miami, FL)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Molina Healthcare (Miami, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update...submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. + Researches and reviews MRDT issues… more
- Sedgwick (Miami, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain robust, scalable ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- University of Miami (Miami, FL)
- …UHealth-University of Miami Health System IT Department has an opportunity for a full-time Epic Analyst 2 - Central (H). The Epic Analyst 2 - Central (H) assists ... members to optimize the application's configuration, function, and access. The Epic Analyst 2 - Central (H) facilitates day-to-day application support and resolving… more
- Bombardier (Opa Locka, FL)
- …process and administrative activities: electronic filing of invoice with OEM's for claims , complete work order tracking system updates and close the work order ... + Manage OEM invoice disputes and claims (from claim filing to resolving disputes and securing...National, or Local Laws. **Job** Aviation Warranty and Invoicing Analyst - Opa Locka **Primary Location** Opa Locka Service… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider ... information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Analyst - Fraud, Waste & Abuse (FWA) provides leadership in in the investigation of potential FWA cases; its main goal is aimed at detection ... with regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective action plans… more
- Elevance Health (Miami, FL)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Regulatory Analyst 1 to work remotely. CORE JOB SUMMARY The Regulatory Analyst 1 ... tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS Analyzes regulatory requirements, identifies potential… more
- WTW (Miami, FL)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance analyst to join our team. As a compliance analyst you will ... **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… more
- Carnival Cruise Line (Miami, FL)
- The Analyst , Global Risk Management will provide essential support to the Risk Management team in delivering accurate data and effective solutions across Marine ... and supports financial instrument placements and renewals. Additionally, the Analyst contributes to strategic initiatives related to Cards and Alternative… more