- CVS Health (Tallahassee, FL)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... case summaries and make referrals to State and Federal Agencies within the timeframes required by Law. + Facilitates the recovery of company and customer money lost… more
- CVS Health (Tallahassee, FL)
- …setup, essential for online viewing and processing, related to customer service, claims , enrollment, billing, and reporting, in support of internal and external ... to minimize manual processing and disruption for the clients. + Uses business knowledge and experience to make plan design and processing recommendations when… more
- Prime Therapeutics (Tallahassee, FL)
- …of individuals with 2+ years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business ... and drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description**...+ Bachelors - Mathematics + Bachelors - Statistics + Required + Yes + Yes + Yes + Yes… more
- Molina Healthcare (FL)
- …** REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** ** Business Leadership & Operational Ownership**… more
- Polk County Public Schools (Bartow, FL)
- …TPA regarding claims management. * Serves as a backup to Analyst and management at legal proceedings including workers' compensation and liability mediation ... requirements listed are representative of the knowledge, skill and ability required . Reasonable accommodations may be made to enable individuals with disabilities… more
- Highmark Health (Tallahassee, FL)
- …Collection of Documents (COD). Oversee day to day department operations. Manage AI Business Analyst staff and AI Coordinators. Responsible for overseeing all ... by the company in lieu of bachelor's degree **Preferred** + Master's Degree in Business **EXPERIENCE** ** Required ** + 5 - 7 years in Accounts Receivable,… more
- American Express (Sunrise, FL)
- …Collaborate with internal and external partners to improve customer experience, deliver on business goals and enhance claims and servicing + For external ... and fee-based insurance products and services for customers across the Consumer, Small Business and Corporate portfolios, totaling $170M in Revenue. The team has an… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …commitment to Devereux. \#sponsored **Qualifications** **Education:** + Bachelor's degree in Finance, Business or related ** required ** **OR** + In lieu of ... mission and culture? Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care)!_ Devereux provides mental and behavioral health services… more
- Molina Healthcare (FL)
- …meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching, ... and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory reporting requirements and Health Plan… more
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