- Highmark Health (Tallahassee, FL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Elevance Health (Miami, FL)
- … business performance. + Develop and analyze business performance reports (eg for claims data , provider data , utilization data ). + Collect and ... **HR/Associate Relations Business Information Analyst I** **Location:** This...responsible for collecting, analyzing, and reporting on HR/Associate Relations data related to one or several but very similar… more
- Highmark Health (Tallahassee, FL)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Centene Corporation (Tallahassee, FL)
- …Purpose:** With the Sunshine Health Plan Analytics team, you will be responsible for analytic data needs of the business unit. Handle complex data projects ... Data Analysts. + Provide advanced analytical support for business operations in all or some of the following...operations in all or some of the following areas: claims , provider data , member data ,… more
- Prime Therapeutics (Tallahassee, FL)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness ... drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst... extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The Business Analyst II reports to the Supervisor of the Central Business Unit (CBU) and performs moderate to complex tasks within our ... claims platform. This position may interface with system architects...of issues. **Schedule** + Flexible schedule, Mon-Fri during normal business hours + Fully remote We are committed to… more
- ChenMed (Miami, FL)
- …Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business problems and continuously improve ... people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data...role will be achieved through the ability to leverage data and analytic skills to create business … more
- Prime Therapeutics (Tallahassee, FL)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more