- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider ... information on all claims and provider databases. Synchronizes data within multiple ...data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Analyst - Fraud, Waste & Abuse (FWA) provides leadership in in the investigation of potential FWA cases; its main goal is aimed at detection ... with regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective action plans… more
- Molina Healthcare (Orlando, FL)
- …Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business rules as they apply ... database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it pertains...life cycle * Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- ChenMed (Miami, FL)
- …great people to join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for proactively tracking the risk ... care for seniors and strengthening communities, by being committed to business focused self-development, through the generation and use of information to… 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
- Molina Healthcare (Tampa, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Elevance Health (FL)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- MyFlorida (Tallahassee, FL)
- INSURANCE ANALYST IV - 43000264 Date: Nov 18, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 864812 Agency: Office of Insurance Regulation Working Title: INSURANCE ANALYST IV - 43000264 Pay Plan: Career Service Position Number: 43000264… 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 ... for being the primary point of contact for new internal and external business partners with regard to related regulatory activity and quality efforts involving… more
- Elevance Health (Lake Mary, FL)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more