- Highmark Health (Tallahassee, FL)
- …needs. May assist with troubleshooting errors, conducting impact analyses, and/or solving data rejection. May perform simple business analyses in one or more ... 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 -… more
- Molina Healthcare (FL)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… 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
- Humana (Tallahassee, FL)
- …+ Design, code, and execute advanced SQL queries; independently pull and manipulate claims data from established databases. + Develop and present Power BI ... Preferred Qualifications: + Experience with healthcare insurance, Medicaid, or claims data analytics + Prior exposure to financial analysis or interest… more
- Navy Federal Credit Union (Pensacola, FL)
- …degree in business administration, statistics, or related field + Preferred internship analyst or full-time experience in data analysis and reporting + ... reported by our members. The investigators responsibilities include validating claims , processing chargebacks, responding to merchant disputes, and ensuring… more
- Molina Healthcare (Jacksonville, FL)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Molina Healthcare (Tampa, FL)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Deloitte (Miami, FL)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Analyst you will have the ability to share new ideas and collaborate on ... to build, deploy, and operate integrated/verticalized sector solutions in software, data , AI, network, and hybrid cloud infrastructure. These solutions are powered… more
- World Insurance Associates, LLC. (Miami, FL)
- …Overview World Insurance is seeking an experienced Employee Benefits Underwriting & Financial Analyst to join our Underwriting & Analytics team. In this role, you ... model renewals, evaluate utilization trends, and support client decision-making with data -driven insights. You'll work closely within a team of underwriters &… more