- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more
- Highmark Health (Tallahassee, FL)
- …incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or ... planning/designing and facilitation of functional walk-throughs. May require additional support from more experienced team members. + Manage small...3 - 5 years of experience in a Business Analyst or Business Process Analyst role or… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Regulatory Analyst 1 to work remotely. CORE JOB SUMMARY The Regulatory Analyst 1 ... tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS Analyzes regulatory requirements, identifies potential… more
- Warner Music Group (Miami, FL)
- …A&R, Marketing, Digital, and Royalties to gather or share relevant documentation. + Support attorneys in responding to claims , notices, and litigation matters. + ... retains the creative spirit of a nimble independent. **Job Title: Legal Analyst ** **Reports To: SVP, Business & Legal Affairs, Latin America** **Department: Business… more
- Sedgwick (Orlando, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Sr **PRIMARY PURPOSE OF THE ROLE** : To create comprehensive reporting and ... statistical data; to monitor data for processing and procedures issues; and to support performance initiative by providing technical support and training to… more
- Sedgwick (Tampa, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. FP&A Analyst / Hybrid **PRIMARY PURPOSE OF THE ROLE:** To partner with and support ... Operational leadership teams to achieve financial objectives; to support corporate departments or more broadly in forecasting, budgeting, and/or analysis of results… 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
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… 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 ... and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of… more