- Humana (Tallahassee, FL)
- …facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations , and other business teams involved in the administration of ... caring community and help us put health first** The Sr . Medicare (PPS) Provider Hospital Reimbursement Analyst ...Medicare business at Humana. The Senior Business Intelligence Engineer will develop and maintain expertise… more
- MetLife (Tampa, FL)
- …achieved. How You'll Help Us Build a Confident Future (Key Responsibilities): The PFML Senior Operations Quality Analyst is responsible for: * Evaluating and ... our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers,...is a diverse team of engineers, developers, business analysts, claims analysts and project managers who collaborate to create… more
- Baylor Scott & White Health (Tallahassee, FL)
- **JOB SUMMARY** The Sr . Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across ... enabling timely, data-driven decisions built on trusted information. The Senior Data Governance Analyst is a key...SUCCESS FACTORS** + Deep understanding of healthcare data and operations . + Knowledge of Data Warehousing, ODS, or other… more
- Cardinal Health (Tallahassee, FL)
- …Sales Tools/Productivity Improvement contributes to Cardinal Health_** Sales Administration/ Operations is responsible for supporting the sales organization and ... data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that… more
- Highmark Health (Tallahassee, FL)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... within the RMIS. + Ensure data integrity throughout the claims process. + Collaborate with HR, Operations ,...adjustment and settlement requests with summaries and rationale for senior management approval. + Ensure all reserve and settlement… more
- Cognizant (Tallahassee, FL)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr . Consulting Manager you will make an impact by driving client ... consulting firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …to defy limitation so that others can too._ In this exciting role, as a Sr . Analyst within OAPI supply chain team, you will work cross-functionally across ... departments to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Citigroup (Jacksonville, FL)
- The Fraud Ops Sr Analyst is a senior level positions responsible for contributing to the development of fraud management policies, processes and procedures ... minimize the impact of fraud in coordination with the Operations - Services team.The overall objective of this role...of experience in a related role + Intermediate to senior level experience in a similar position preferred +… more
- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely ... At least 3 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a… more