- Molina Healthcare (Jacksonville, FL)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Humana (Tallahassee, FL)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... 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… more
- Navy Federal Credit Union (Pensacola, FL)
- …skills, and a collaborative mindset to help safeguard the organization's assets and operations . The Sr. Technical Risk Analyst supports business units for ... Union is seeking a highly analytical and detail-oriented Senior Technical Analyst to support the management of enterprise-wide commercial insurance programs and… more
- Army National Guard Units (FL)
- Summary This National Guard position is for a SUPERVISORY SUPPLY SYSTEMS ANALYST (TITLE 32), Position Description Number D0891P01 and is part of the FL USPFO, ... National Guard. Responsibilities As a SUPERVISORY SUPPLY SYSTEMS ANALYST (TITLE 32), GS-2003-9, you will implement accepted provisions of personnel management such… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- Lyric (Tallahassee, FL)
- …support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products and services ... closely with engineers, clinical experts, payment professionals, and business operations leaders to develop reporting and analyze large-scale healthcare … more
- Highmark Health (Tallahassee, FL)
- …process improvement meetings and/or discussions. + Analyze the functions and operations of a business area/function and identify problem areas. Create process ... 3 - 5 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** + 1 -… more
- Evolent (Tallahassee, FL)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- The Hartford (Lake Mary, FL)
- …experience preferred.* 2 years of Employee Benefits business experience in operations , claims , product, or underwriting.* Intellectually curious and have ... team as we help shape the future. As a Senior Specialist, Product Delivery Analyst , for the Shared Services PEG Implementation Team, you will play a critical role… 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 ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more