- Highmark Health (Tallahassee, FL)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Molina Healthcare (Orlando, FL)
- …to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... oversight to ensure that the contracts are configured correctly in QNXT. The claims are reviewed to ensure that the configured services are correct. Maintain the… more
- Bank of America (Jacksonville, FL)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Pennington, New Jersey;Chandler, Arizona; Jacksonville, Florida **To proceed with your application, you must ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Pennington/Wealth-Management-Fraud Claims Sr-Fraud- Analyst \_25037888) **Job Description:** Merrill Wealth Management… 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.... Perform Automation testing of backend services, APIs, and data flows. . Validate API endpoints using Swagger and… more
- Centene Corporation (Tallahassee, FL)
- …on workplace flexibility. Florida residents only **Position Purpose:** **With the Sunshine Health Claims Operations team, you will assist with root cause claims ... tickets for claim underpayments.** + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing… more
- MyFlorida (Largo, FL)
- HEALTH DATA ANALYST - 50000056 Date: Oct 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 862327 Agency: Veterans Affairs Working Title: HEALTH DATA ANALYST - 50000056 Pay Plan: Career Service Position… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data ... or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation of quality process improvement… more
- Vontier (Tallahassee, FL)
- **Job Overview** The Quality Data Analyst Intern will support the Gilbarco Veeder-Root Quality organization by conducting detailed data analyses, identifying ... teams. * Support root cause analysis efforts by providing data -driven insights into failure trends and warranty claims... data -driven insights into failure trends and warranty claims . * Assist in documenting quality data … more
- University of Miami (Medley, FL)
- …Department of Physician Relations & Business Development has an exciting full time opportunity for a Data analyst 3. The Data Analyst 3 (H) performs ... data , generate insights and support business development initiatives. Familiarity with claims data preferred but not required. Knowledge, Skills and… more
- Centene Corporation (Tallahassee, FL)
- …intelligence and visualization tools. **Provider:** Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical ... for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party … more
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