- TEKsystems (Orlando, FL)
- Senior Medical Claims Analyst ( Remote ) Contract Duration: Through January 2026 (with potential for extension) Location: Remote (US based) Schedule: ... the Role We're seeking a detail-oriented and analytical Senior Claims Analyst to join our team. This...+ Candidates must be comfortable working in a fast-paced, remote environment. Pay and Benefits The pay range for… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home ... Delivery Program Claims Analyst is responsible for serving as...as assigned **Minimum Qualifications** + Bachelor's degree in IT, Business , Science or related area of study, or equivalent… more
- Cognizant (Tallahassee, FL)
- About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued...to provide flexibility wherever possible. Based on this role's business requirements, this is a ** remote position**… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business ... assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + Other duties as… more
- Molina Healthcare (Orlando, FL)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- Prime Therapeutics (Tallahassee, FL)
- …fuels our passion and drives every decision we make. **Job Posting Title** QA Analyst PBM Implementation - Remote **Job Description** The Quality Assurance (QA) ... duties as assigned **Minimum Qualifications** + Bachelor's degree in Business , Liberal Arts, or related area of study, or...GED is required + 2 years of experience within Claims Processing, Audit, Quality or Pharmacy + Must be… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more