- Highmark Health (Tallahassee, FL)
- …or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 - 3 years in the ... Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process Improvement… more
- Prime Therapeutics (Tallahassee, FL)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
- Travelers Insurance Company (Tampa, FL)
- …cash incentive awards. **Salary Range** $47,700.00 - $78,600.00 **Target Openings** 1 **What Is the Opportunity?** Under moderate supervision, manage Workers' ... Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where...Will You Do?** + Manage and resolve stable lifetime claims . + May use structured settlement/annuity as appropriate for… more
- Evolent (Tallahassee, FL)
- …or healthcare focus (health administration, epidemiology, public health, biology) + 1 + years of professional experience in claims -based healthcare analytics ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- Centene Corporation (Tallahassee, FL)
- …working with large databases, data verification, and data management, or 1 + years IT experience. Healthcare analytics experience preferred. Working knowledge of ... intelligence and visualization tools. **Provider:** Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data… more
- CVS Health (Tallahassee, FL)
- …relevant industry standards, regulations, and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience ... with system testing and post go-live validation + QNXT Experience + Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** +… more
- Air National Guard Units (Macdill AFB, FL)
- …Civil Service "under the authority of 32 USC 709" and is open to Category 1 : All permanent/indefinite (T32 and T5) technicians employed by the agency Category 3: All ... T32 Dual Status technicians. First consideration will be given to Category 1 . PCS: Permanent Change of Station (PCS) costs, Recruitment or Relocation Incentive… more
- AdventHealth (Maitland, FL)
- …or trends. Pivots detail for distribution to assigned Contract Manager or analyst . Contributes to the development and implementation of new systems by offering ... component data for government and non-contracted products for system calculation of claims . Facilitates in the completion and coordination of special projects and… more
- Air National Guard Units (Tyndall AFB, FL)
- …Civil Service "under the authority of 32 USC 709" and is open to Category 1 : All permanent/indefinite (T32 and T5) technicians employed by the agency Category 3: All ... in work such as computer operator or assistant, computer sales representative, program analyst , or other positions that required the use or adaptation of computer… more