- 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
- University of Miami (Miami, FL)
- …Health System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr. Analyst - Quality and Population Health. The Epic Sr. Analyst - ... safeguards University assets. Department Specific Functions: As an Epic Analyst - Quality and Population Health, you...health plan concepts and workflows + Familiarity with outside claims data ingestion. + Ability to communicate effectively in… more
- Prime Therapeutics (Tallahassee, FL)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT… more
- Bank of America (Miami, FL)
- Treasury - Senior Quality Analyst (Bilingual - English / Spanish (Portuguese a plus) Miami, Florida **To proceed with your application, you must be at least 18 ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Miami/Treasury Senior- Quality - Analyst --Bilingual English Spanish--Portuguese-a-plus-\_25030676-2) **Job Description:** At Bank… more
- MetLife (Tampa, FL)
- …How You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Quality Analyst is responsible for: * Working with senior team members and ... of criteria and ensure that complex, non-routine processes and functions meet quality and performance standards. * Evaluating and improving business and associate… 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 ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- MyFlorida (Tallahassee, FL)
- HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 859230 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST II - 72004150 Pay Plan: Career Service Position Number: 72004150… more
- Elevance Health (Miami, FL)
- **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law._ The **Grievance/Appeals Analyst I** is an entry level position in the...and indemnity) related to clinical and non clinical services, quality of service, and quality of care… more
- MetLife (Tampa, FL)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the ... timely and meaningful feedback to associates and management regarding performance and quality standards. * Partners with team to develop criteria and standards in… 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