- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior ... analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field. + Previous experience using… more
- Norstella (Tallahassee, FL)
- Sr . Medical Analyst Company: MMIT Location: Remote,...and support patients in need. We are seeking a Senior Medical Analyst to join our team and ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- AdventHealth (Maitland, FL)
- …strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics required + ... days at the office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- Navy Federal Credit Union (Pensacola, FL)
- …+ Meet all deadlines for insurance renewals and approvals as planned + Oversee relevant claims processing and be able to assess and convey material losses to ... Credit Union is seeking a highly analytical and detail-oriented Senior Technical Analyst to support the management...to help safeguard the organization's assets and operations. The Sr . Technical Risk Analyst supports business units… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms… 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 ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- Bristol Myers Squibb (Tampa, FL)
- …intake and loading requirements. Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has a high level ... Acting as a Subject Matter Expert regarding Model N claims & payment processing and reporting functionality...care resources. Other perks like tuition reimbursement and a recognition program. \#LI-Hybrid If you come across a role… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience… more
- Acosta Group (Jacksonville, FL)
- …activities, including high-severity Workers' Compensation and liability claims . Supervise the Sr . Risk Claims Analyst and ensure alignment with best ... enterprise. The Director will manage a team including the Sr . Risk Claims Analysts and collaborate closely...+ Knowledge of insurance contract language, insurance underwriting, and claims processing + Deep knowledge of casualty… more