- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... into technical solutions. This role works closely with clinicians, utilization management teams, and business stakeholders to gather requirements and deliver… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... into technical solutions. This role works closely with clinicians, care management teams, and business stakeholders to gather requirements and deliver actionable… more
- LogixHealth (Dania, FL)
- … services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... FL $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department... at LogixHealth, you will work with the department management teams to provide cutting edge solutions that will… more
- Robert Half Management Resources (Tampa, FL)
- Description The Sr. Benefits Analyst is the point person for benefits administration for assigned client(s), which could be one of our bottler clients or CCBSS ... recommendations. + Responsible for day-to-day benefits operations such as appeals, death claims , direct billing of benefits, and support for regulatory audits (eg,… more
- The Cigna Group (Sunrise, FL)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance, ... the office or visit Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and reports to… more
- CVS Health (Tallahassee, FL)
- …Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- ManTech (Jacksonville, FL)
- ManTech is seeking a motivated, career and customer-oriented **Software Support Analyst ** to join our Fleet Readiness Center Software Support Activity team in ... in a Technical or Logistics discipline + Experience in Software Configuration Management + Experience using VinPower Digital Shark Duplicators or similar equipment +… more
- MetLife (Tampa, FL)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... of data. Provides timely and meaningful feedback to associates and management regarding performance and quality standards. * Partners with team to develop criteria… more
- MUFG (Tampa, FL)
- …Commercial LCs; (b)Handling of Discounting and Financing of Bills; (c) Workflow Management ; (d) Reporting and Invoicing; (e) Special Projects and UAT testing; ... US compliance regulation checks/screening/data entry; and (h) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives,… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... experience **Required Experience** + 2-4 years increasingly complex database and data management responsibilities + Basic knowledge of SQL + 2-4 years of… more