- Molina Healthcare (FL)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...as a QNXT SME. + Networx / Pricer and claims experience is highly preferred. + SQL is highly… more
- Highmark Health (Tallahassee, FL)
- …requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement ... Epic modules. **Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic Certification in Resolute Hospital Billing… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development… more
- Syms Strategic Group, LLC (SSG) (Jacksonville, FL)
- Syms Strategic Group (SSG) is seeking a talented Senior Functional Analyst - III Location: Remote Department: Veterans Affairs Type: Full Time Min. Experience: ... JIRA tools + Experience in large, Agile software development or data integration projects Professional Certifications None required Years of Professional Experience… more
- CVS Health (FL)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy… more
- Bank of America (Jacksonville, FL)
- Transaction Management Ops Analyst - Abandoned Property Jacksonville, Florida **To proceed with your application, you must be at least 18 years of age.** Acknowledge ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/Transaction-Management-Ops- Analyst Abandoned-Property\_25039106) **Job Description:** **At Bank of America, we… more
- The Walt Disney Company (Kissimmee, FL)
- **Job Overview:** As a Risk Management Systems Team member, the Business Systems Analyst is responsible for maintaining day-to-day claims systems support and ... Identify, troubleshoot, and resolve straight-forward user-reported system issues, including data interface and functional issues with minimal guidance using… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to provide ... services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients… more
- Molina Healthcare (Miami, FL)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …areas, its products, and general functions. + Assists with the monitoring of claims . + Supports colleagues with gathering the data collection and analysis ... Standard Office skills. . Fundamental concepts of insurance policy renewals and claims handling. + Insurance industry and terminology. . Fundamental concepts of… more
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