- MetLife (Tampa, FL)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... Coach and mentor ADA Specialists to drive improvements in claim handling. * Provide additional support to the Absence...supported. Required: * 3+ years of experience managing ADA claims . * Experience managing absence claims for… 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
- AdventHealth (Maitland, FL)
- …from the payers in Athena/Epic and MSOW Network Management thus releasing held claims and updating the status report for the practices. + Reviews and resolves ... claim denials that are related to the credentialing and...+ Bachelor's in healthcare, business administration **or** related field ** Preferred ** + In depth knowledge of Commercial and Government… more
- Evolent (Tallahassee, FL)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Highmark Health (Tallahassee, FL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… 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
- Elevance Health (Miami, FL)
- **Coding Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... quality of life through home-care and community based services. The **Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for… more
- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Sedgwick (Tampa, FL)
- …equivalent combination of education and experience required. Experience in multi-line claims management processes and system requirements preferred . **TAKING ... Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Job Description Join us in delivering cutting-edge...+ Bachelor's degree required; major in computer science field preferred . + Five (5) years of related experience or… more