- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… 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
- 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...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… 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
- The Hartford (Lake Mary, FL)
- …team as we help shape the future. As a Senior Specialist, Product Delivery Analyst , for the Shared Services PEG Implementation Team, you will play a critical role ... insurance policies and ancillary forms in various automated and manual systems . Responsibilities: General* Review filed and approved forms, interpret variability and… more
- Coinbase (Tallahassee, FL)
- …build the emerging onchain platform - and with it, the future global financial system . To achieve our mission, we're seeking a very specific candidate. We want ... of crypto and blockchain technology to update the financial system . We want someone who is eager to leave...fully supported. *Team/ Role Paragraph:* As a Pull Payments Analyst on the Payments Risk Analytics team, you'll be… more
- Chewy (Plantation, FL)
- **Your Opportunity:** We are looking for an **HR Leave Administration Analyst ** to join our Human Resources Shared Services Team! Under the supervision of the team ... LOA TPA, HR, Legal, Payroll, Managers, Benefits, Team Members, and other departments/ systems as appropriate. + Based on case performance insights in ServiceNow,… more
- Highmark Health (Tallahassee, FL)
- …standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- 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
- Bank of America (Miami, FL)
- Treasury - Senior Quality Analyst (Bilingual - English / Spanish (Portuguese a plus) Miami, Florida **To proceed with your application, you must be at least 18 years ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Miami/Treasury Senior-Quality- Analyst --Bilingual English Spanish--Portuguese-a-plus-\_25030676-2) **Job Description:** At Bank of America,… more