- AdventHealth (Maitland, FL)
- …: Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and ... person is responsible for compiling and analyzing multiple sources of data to support executive decision-making regarding contract violations. The Senior Compliance… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Prime Therapeutics (Tallahassee, FL)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness ... drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst... extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- ChenMed (Miami, FL)
- …and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data -driven insights and analytical ... enterprise. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and… more
- Highmark Health (Tallahassee, FL)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider Data… more
- Chewy (Plantation, FL)
- …+ Maintain and update the insurance policy schedule and support accurate renewal data collection for renewal cycles. ** Claims & Reporting** + Collect, review, ... **Our Opportunity:** Chewy's Corporate Risk & Insurance team is seeking a **Risk Analyst - Corporate Risk & Insurance** to support its growing portfolio of insurance… more
- Evolent (Tallahassee, FL)
- …insights and compelling narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization ... the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique… more
- Norstella (Tallahassee, FL)
- …to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results,… more