- Warner Music Group (Miami, FL)
- …retains the creative spirit of a nimble independent. **Job Title: Legal Analyst ** **Reports To: SVP, Business & Legal Affairs, Latin America** **Department: Business ... latitude for independent judgment and decision, you will participate in the legal operations of the Company and work with other departments within the Company. This… more
- Robert Half Management Resources (Tampa, FL)
- …and resolve issues; bring forward recommendations. + Responsible for day-to-day benefits operations such as appeals, death claims , direct billing of benefits, ... 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… more
- Evolent (Tallahassee, FL)
- …audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract, ... manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required… more
- Bristol Myers Squibb (Tampa, FL)
- …In this position, you will play a key role within the Medicaid Rebate Operations team, which manages the intake, processing, and payment of multiple labeler codes ... Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has...BMS Model N IT Support teams and Government Contract Operations team. **Responsibilities:** + Analyzing invoices and claim details… more
- Molina Healthcare (FL)
- …as necessary to debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business, technical and operations rules. + Develops ... Prepare and design test plans and test cases with the help of testing lead for both new and existing features (regression testing). + Vendor Management: Provides… more
- Centene Corporation (Tallahassee, FL)
- …needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. + Provide advanced analytical support for business operations ... in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + Extract, load, model, and reconcile… more
- NextEra Energy (North Palm Beach, FL)
- …insurance subsidiary and provides coverage to both affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting ... Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs &...ideal candidate will be responsible for the following: * Lead the tasks and deliverables of Operations … more
- Molina Healthcare (FL)
- …of the role. + Validate findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Highmark Health (Tallahassee, FL)
- …and programs as necessary; may have budgetary responsibility and authority. + Lead daily Receivables Management operations . This is a "hands-on" position, ... claims or inquiry processing with Membership and Billing personnel. Lead or participate in higher level AR tasks and...Collection of Documents (COD). Oversee day to day department operations . Manage AI Business Analyst staff and… more
- Prime Therapeutics (Tallahassee, FL)
- …tools, such as self-service capabilities and standard report packages. May lead efforts to create curriculum to improve user adoption. + Ensures ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more