• Senior Analyst , Healthcare Analytics

    Molina Healthcare (Tampa, FL)
    **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... translating healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst , Healthcare Analytics - ETL

    Molina Healthcare (Orlando, FL)
    **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain… more
    Molina Healthcare (07/30/25)
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  • Provider Contracting Lead Analyst - South…

    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
    The Cigna Group (07/12/25)
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  • Healthcare Reimbursement Analyst , Audit…

    LogixHealth (Dania, FL)
    …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... Location: On-Site in Dania, FL $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to provide… more
    LogixHealth (07/24/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Tallahassee, FL)
    …Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... staff, and team members as more complex cases and strategies are developed. ** Required Qualifications** + 3-5 years of experience in a medical claim background with… more
    CVS Health (08/27/25)
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  • Analyst , Provider Configuration

    Molina Healthcare (Tampa, FL)
    …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
    Molina Healthcare (08/28/25)
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  • Trade Finance Ops - Commercial LC Analyst

    MUFG (Tampa, FL)
    …US compliance regulation checks/screening/data entry; and (h) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives, ... Laws)/FEFTA /Red flags/vessels/shipping lines/ports/country violations relating to trade finance documents/ claims /transactions. **Transaction Processing in Trade 360 System** : Prepare… more
    MUFG (07/01/25)
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  • Trade Finance Operations - Documentary Collections…

    MUFG (Tampa, FL)
    …US compliance regulation checks/screening/data entry; and (c) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives, ... Laws) /Red flags/vessels/shipping lines/ports/country violations relating to trade finance documents/ claims /transactions. **Transaction Processing in Trade 360 System** : Prepare… more
    MUFG (06/08/25)
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  • Senior Clinical & Population Health Analyst

    Highmark Health (Tallahassee, FL)
    …in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL ... strategic priorities, needs, plans and resources. + Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought… more
    Highmark Health (07/22/25)
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  • Special Investigation Unit Lead Review…

    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 ... tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates the recovery of company lost as a result of… more
    CVS Health (08/20/25)
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