- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...+ Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources to identify early signs...to mine and manage information from large data sources. ** Preferred Qualifications:** + Proficiency with Power BI and/or Tableau… more
- MUFG (Tampa, FL)
- …US compliance regulation checks/screening/data entry; and (c) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives, ... Laws) /Red flags/vessels/shipping lines/ports/country violations relating to trade finance documents/ claims /transactions. **Transaction Processing in Trade 360 System** : Prepare… more
- Elevance Health (Miami, FL)
- **HR/Associate Relations Business Information Analyst I** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... accommodation is granted as required by law._ The **HR/AR** **Business Information Analyst I** will be responsible for collecting, analyzing, and reporting on… 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
- Highmark Health (Tallahassee, FL)
- …or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) ** Preferred ** + 1 - 3 years in the ... assigned. **EDUCATION** **Required** + High School Diploma/GED **Substitutions** + None ** Preferred ** + Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years… more
- Intermountain Health (Tallahassee, FL)
- …+ 5-8 years claims processing or system set-up experience, managed care preferred + High School Diploma or GED required, some college preferred + ... **Job Description:** The Business Analyst II reports to the Supervisor of the...(CBU) and performs moderate to complex tasks within our claims platform. This position may interface with system architects… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- TEKsystems (Jacksonville, FL)
- Our client, a reputable healthcare company, is hiring for a Remote Charge Integrity Analyst role (MUST SIT IN EST) Job Description: + The Charge Integrity Analyst ... have a strong understanding of Revenue Cycle, experience handling claims , and be able to work independently. Qualifications to...Codes or Charging Required + 3-5 Years Coding Experience Preferred + 1-2 Years of Third-Party Billing and Payment… more
- CVS Health (Tallahassee, FL)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...years of experience writing scripts in SQL and/or SAS. ** Preferred Qualifications** + Experience with any of these a… more