- Sedgwick (Jacksonville, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- CVS Health (Largo, FL)
- …And we do it all with heart, each and every day. **Position Summary** The Benefits Analyst , Account Manager at CVS Health, you will play a critical role in ... in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related… more
- Molina Healthcare (Tampa, FL)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Prime Therapeutics (Tallahassee, FL)
- …and assumptions to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments ... requirements for requested software changes + Actively engage in Claim systems solutioning discussions with project teams to ensure...within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Molina Healthcare (FL)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable… more
- Molina Healthcare (St. Petersburg, FL)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Cushman & Wakefield (Tallahassee, FL)
- … Analyst **Job Description Summary** Under the supervision of the Facilities Manager , the Facility Analyst will manage and troubleshoot everything related to ... that arise in the client retail stores. The Facility Analyst is charged with ensuring that vendors and projects...Ops Leaders. * Under the direction of the Facility Manager , respond promptly to requests for building maintenance, repairs,… 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 ... teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on identifying, reviewing, and… more
- Healthfirst (FL)
- …peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for ... ensure their own optimal performance as well as performance of the Business/Project Analyst team. + Regularly meet with supervisor, peers, and stakeholders to drive… more
- Elevance Health (Miami, FL)
- **Provider Payment Appeal Analyst I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... am - 9 pm EST The **Provider Payment Appeal Analyst I** is responsible for supporting the Payment Dispute...root cause and appropriate resolution. + Must work with Claims Operations to remediate impacted claims . **Minimum… more