- USAA (Tampa, FL)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… more
- NextEra Energy (North Palm Beach, FL)
- …subsidiary and provides coverage to both affiliated and non-affiliated risks. As the Principal Operations Analyst for Claims & Finance, you will be assisting ... **Principal Insurance Operations Analyst ** **Date:** Aug 26, 2025...ideal candidate will be responsible for the following: * Lead the tasks and deliverables of Operations … 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 ... guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen....operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- The Cigna Group (Sunrise, FL)
- …work in 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 the Contracting Manager or Market Lead . This role assists and supports the day to...communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists Associate Epic Analysts on the ... to optimize the application's configuration, function, and access. The Epic Analyst 2 facilitates day-to-day application support and resolving application issues and… more
- Elevance Health (Miami, FL)
- …necessary, to determine root cause and appropriate resolution. + Must work with Claims Operations to remediate impacted claims . **Minimum Requirements:** + ... **Provider Payment Appeal Analyst I** **Location:** This role enables associates to...or GED and a minimum of 3 years of claims research and/or issue resolution or analysis of reimbursement… more
- Highmark Health (Tallahassee, FL)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... federal, and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and… more
- University of Miami (Miami, FL)
- …System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr. Analyst - Quality and Population Health. The Epic Sr. Analyst - Quality ... and access. The incumbent supports junior staff members in day-to-day operations and resolving application issues. Core Responsibilities: + Collaborates with key… more
- Elevance Health (Tampa, FL)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more
- 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