- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** The Claims Analyst will assist the Manager of Risk Management in the implementation of the corporation's property and casualty risk management ... communication of programs to business units, and departmental accounting. **RESPONSIBILITIES** The Claims Analyst will support the Risk Management team in… more
- Prime Therapeutics (Tallahassee, FL)
- …future of pharmacy with us. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as a Claims Operations subject matter expert on system functionality which may include implementations,… 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 ... tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS Analyzes regulatory requirements, identifies potential… more
- The Hartford (Lake Mary, FL)
- …Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured ... Ability Analyst - C410ANSr Ability Analyst -...create a positive team environment that achieves Group Benefit Claims culture initiatives and objectives Qualifications: + 1… more
- AdventHealth (Maitland, FL)
- …Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in decision support and… more
- Baylor Scott & White Health (Tallahassee, FL)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter...that we promote to our patients. As of January 1 , 2012, Baylor Scott & White Health no longer… more
- CVS Health (Tallahassee, FL)
- …issues + Document audit findings clearly and provide actionable feedback **Required Qualifications** + 1 -2 years of Claims + 1 + year(s) Knowledge of CPT ... it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the accuracy and quality of claim audits across… more
- Elevance Health (Miami, FL)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- MyFlorida (Tallahassee, FL)
- 68064693 - MEDICAL HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064693 - MEDICAL HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064693 Salary: $ 1 ,833.39… more
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