• Analyst , Business Quality (Remote)

    Molina Healthcare (FL)
    **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
    Molina Healthcare (08/10/25)
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  • Utilization Management Senior Business

    Molina Healthcare (Tampa, FL)
    …+ Perform research and analysis of complex healthcare utilization and performance date, claims data , pharmacy data , and lab data ... on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. + Develop and direct… more
    Molina Healthcare (08/02/25)
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  • STD Senior Quality Analyst

    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 ... as Product, Business Procedures, Contracts, or Plan Master; may support the...State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations.… more
    MetLife (08/14/25)
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  • Real Time Analyst

    Mass Markets (FL)
    …Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience ... POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in...We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role… more
    Mass Markets (06/13/25)
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  • Compliance Analyst

    NextEra Energy (North Palm Beach, FL)
    **Compliance Analyst ** **Date:** Jul 24, 2025 **Location(s):** North Palm Beach, FL, US, 33408 **Company:** NextEra Energy At PALMS Insurance, a NextEra Energy ... of our team today. **Position Specific Description** + Serves as a strategic business partner and subject matter expert for state regulations and requirements +… more
    NextEra Energy (07/25/25)
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  • Analyst , Vendor Accounts - REMOTE

    Molina Healthcare (Tampa, FL)
    …with preparation of forecasts, recommendations and strategic/tactical plans based on business data and vendor competencies. Creates specifications for reports ... **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of...business and vendor performance problems and issues using data from internal and external sources to provide solutions… more
    Molina Healthcare (08/13/25)
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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 ... FL $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department...proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency… more
    LogixHealth (07/24/25)
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  • Senior Analyst Medicaid Rebate Operation

    Bristol Myers Squibb (Tampa, FL)
    …intake and loading requirements. Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has a high level of ... Acting as a Subject Matter Expert regarding Model N claims & payment processing and reporting functionality including: +...equivalent and/or relevant analytical or operational experience in finance, business , or a related discipline. + Minimum 4 -… more
    Bristol Myers Squibb (08/10/25)
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  • ADA Senior Quality Analyst

    MetLife (Tampa, FL)
    …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... of data . Provides timely and meaningful feedback to associates and...the Absence Management Services quality team as needed. Essential Business Experience and Technical Skills: Proficient knowledge of the… more
    MetLife (08/14/25)
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  • Clinical & Population Health Analyst

    Highmark Health (Tallahassee, FL)
    …to aggregate, analyze and understand patterns in varied and complex data ; and articulates analytic findings, business implications, and recommendations ... + 2 years of Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 1 year of Project… more
    Highmark Health (08/16/25)
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