- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** Inspects and provides accurate claim information to support savings optimization for claims . Responds to ... procedures for medical cost management. Coordinates support functions for claim adjudication. **Required Qualifications** Effective communication, telephonic and organization… more
- Bank of America (Jacksonville, FL)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Newark, Delaware;Jacksonville, Florida **To proceed with your application, you must be at least 18 years of ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Wealth-Management-Fraud Claims Sr-Fraud- Analyst \_25028343) **Job Description:** Merrill Wealth Management… more
- USAA (Tampa, FL)
- …for this position. **The candidate selected for this position will be joining the Claims Analytics team, which is a part of P&C Actuary & Analytics.** **They will ... work directly with Claim 's business partners on benefit analysis, analyzing data to...initiatives.** **They will partner with the other teams within Claims Analytics, as well as the P&C Data Science… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve… more
- MyFlorida (St. Petersburg, FL)
- HUMAN SERVICES PROGRAM ANALYST - 64004525 Date: Jul 31, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM ANALYST - 64004525 Pay Plan: Career Service Position Number:...a timely manner. + Enter services and process billing claims . + Enters Services and tracking process for Directions… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Senior Analyst Pricing - Remote **Job Description** The Senior Pricing Analyst participates ... revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other...weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use… more
- MyFlorida (Tallahassee, FL)
- MEDICAL/HEALTH CARE PROG ANALYST - SES - 64055877 Date: Aug 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 858520 Agency: Department of Health Working Title: MEDICAL/HEALTH CARE PROG ANALYST - SES - 64055877 Pay Plan: SES Position Number: 64055877 Salary:… more
- 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 ... and Government Contract Operations team. **Responsibilities:** + Analyzing invoices and claim details for accuracy, identifying and documenting rebate payment and… more
- Point32Health (FL)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... and have the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of… more