- University of Miami (Miami, FL)
- …MU + Familiarity with health plan concepts and workflows + Familiarity with outside claims data ingestion. + Ability to communicate effectively in both oral and ... System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr. Analyst - Quality and Population Health. The Epic Sr. Analyst - Quality… more
- Centene Corporation (Tallahassee, FL)
- …performance trends, or regulatory reporting with external agencies preferred; Familiarity with claims data , utilization, rate setting, risk adjustment, or member ... identify areas of value, develop solutions, and deliver insights. + Support business initiatives through data analysis, identification of implementation barriers… more
- Molina Healthcare (FL)
- …in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, and vendor ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision… more
- Healthfirst (FL)
- …related analysis on performance and service levels to inform strategic and tactical business decision-making. + Analyze and interpret complex data sets to ... Job Description + Deliver data -driven analytics solutions and visualizations provide meaningful, accurate,...and peers to establish goals, priorities and deliverables of Business / Project Analyst team. Ensurelong-term strategic and… more
- Molina Healthcare (Jacksonville, FL)
- …collection. Success in this role requires a blend of strong technical acumen, business context, and analytical curiosity. While data is primarily accessed ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...**Required Experience** + 3-5 Years of experience with healthcare-related data ( claims /encounters, provider, CMS/EDGE response files, etc.… more
- CVS Health (Tallahassee, FL)
- …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... curiosity, collaboration, and innovation. + Constantly work to understand data structures and their business context +...AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry,… more
- TEKsystems (Jacksonville, FL)
- 100% Remote Charge Integrity Analyst Opportunity: Our client in Jacksonville, FL is looking to hire a Charge Integrity Analyst onto their team. This role is 100% ... Texas, Virginia, West Virginia, Wyoming Description: The Charge Integrity Analyst is tasked with working out of Epic work...have a strong understanding of Revenue Cycle, experience handling claims , and be able to work independently. Top Skills… more
- Evolent (Tallahassee, FL)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make… more
- Molina Healthcare (Orlando, FL)
- … data solutions. JOB DUTIES: + Partner with clinical, operational, and business teams to understand data needs and translate requirements into actionable ... solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy, and lab datasets. + Build and maintain… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more