- 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 ... regulations across all jurisdictions where Wesco operates. + Maintain accurate and up-to-date claim records in the risk management information system (RMIS). +… more
- Molina Healthcare (Jacksonville, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- Prime Therapeutics (Tallahassee, FL)
- …or Resource Manager to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across ... every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations...system requirements analysis experience + Experience in Prime claims systems + Must be eligible to… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst ... overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes...+ Monitors system availability, working closely with system administrators and business systems analysts. +… more
- Molina Healthcare (St. Petersburg, FL)
- …and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims … more
- NextEra Energy (North Palm Beach, FL)
- …and provides coverage to both affiliated and non-affiliated risks. As the Principal Operations Analyst for Claims & Finance, you will be assisting the Claims ... **Principal Insurance Operations Analyst ** **Date:** Aug 26, 2025 **Location(s):** North Palm...Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs &… 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
- 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
- Chewy (Plantation, FL)
- **Our Opportunity:** Chewy's Corporate Risk & Insurance team is seeking a **Risk Analyst - Corporate Risk & Insurance** to support its growing portfolio of insurance ... the team to effectively manage its complex insurance portfolio, oversee claims , maintain regulatory insurance compliance, and scale risk management processes in… more