- Warner Music Group (Miami, FL)
- …retains the creative spirit of a nimble independent. **Job Title: Legal Analyst ** **Reports To: SVP, Business & Legal Affairs, Latin America** **Department: Business ... reviewing/ drafting contracts affecting copyrights, licenses, royalties, fees, assisting with claims and settlements, and leading contract deadlines along with other… more
- MetLife (Tampa, FL)
- …You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Quality Analyst is responsible for: * Working with senior team members and areas such ... Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business… more
- Evolent (Tallahassee, FL)
- …audiences. + Synthesize complex analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and ... make recommendations based on relevant findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- Molina Healthcare (Tampa, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... development of large, complex, critical configuration maintenance processes/solutions + Research and review new tools and techniques and provide...life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- CVS Health (Tallahassee, FL)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy… more
- NextEra Energy (North Palm Beach, FL)
- **Compliance Analyst ** **Date:** Aug 22, 2025 **Location(s):** North Palm Beach, FL, US, 33408 **Company:** NextEra Energy At PALMS Insurance, a NextEra Energy ... state regulations and requirements + Assists with managing producer, broker, and claims adjuster licenses and renewals and database management + Periodically meets… more
- The Cigna Group (Sunrise, FL)
- …the office or visit Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and reports to ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- Molina Healthcare (Tampa, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- Molina Healthcare (Orlando, FL)
- …major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues related to core systems ... + Creates, reviews, analyzes and estimates project requests. + Performs research and analysis of customer initiated inquiries and requests, leveraging extensive… more
- CVS Health (Tallahassee, FL)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... Outlook products, Database search tools, and use in the Intranet/Internet to research information. * Strong communication and customer service skills. * Ability to… more