- WESCO (Orlando, FL)
- As an Analyst - Risk Management ( Claims ), you will be responsible for the daily management of claims that fall within and outside the insurance program. You ... internal and external teams (brokers/carriers/counsel) and contributes to favorable claim outcomes through data analysis and strategic support. **Responsibilities:**… more
- Molina Healthcare (Jacksonville, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Marketplace is required. + Medical coding experience is highly preferred . **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination… more
- Molina Healthcare (St. Petersburg, FL)
- …background in payment integrity-either at a health plan or vendor-is strongly preferred . **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims … more
- Prime Therapeutics (Tallahassee, FL)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT… more
- Molina Healthcare (Tampa, FL)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- The Hartford (Lake Mary, FL)
- …by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused ... ongoing Long Term Disability benefit determinations using vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of… more
- AdventHealth (Maitland, FL)
- …: Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and ... support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and Governmental (Medicare,… more
- University of Miami (Miami, FL)
- …Hospital Billing Expected Reimbursement Contracts Administration, Resolute Hospital Billing Claims , and Electronic Remittance Administration) preferred . + Strong ... IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists...Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications… more
- MyFlorida (Tallahassee, FL)
- HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 859230 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST II - 72004150 Pay Plan: Career Service Position Number: 72004150… more
- AdventHealth (Maitland, FL)
- …Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in decision support and… more