- Molina Healthcare (FL)
- …+ Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. ** PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare, Medicaid, ... Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed… more
- Robert Half Finance & Accounting (Opa Locka, FL)
- …and service technicians with parts compatibility and availability . Support warranty claims and product issues . Maintain and update product/parts information in ERP ... Dental 80/20 . Opportunities for advancement - we promote from within Preferred but Not Required: . Background in commercial kitchen equipment, appliance repair,… more
- MUFG (Tampa, FL)
- …/Money Market inquiries as well as cases requiring compensation payments and/or claims in accordance with established regulations. Ensuring all cases are verified in ... 2 to 3 years supervisory experience. **Education:** + Higher education preferred with banking and financial background. Operations back-office industry experience… more
- NextEra Energy (North Palm Beach, FL)
- …subsidiary and provides coverage to both affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the Claims ... Notice of Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs & reports, documenting… more
- Molina Healthcare (FL)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** +… more
- Molina Healthcare (St. Petersburg, FL)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- HCA Healthcare (Pensacola, FL)
- …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... to charitable organizations. Apply Today! **Job Summary and Qualifications** Processes claims electronically to insurance carriers. Mails claims to carriers… more
- Kemper (Doral, FL)
- …of the NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims ... College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong… more
- Highmark Health (Tallahassee, FL)
- …work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- Prime Therapeutics (Tallahassee, FL)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more