• Sr. Medical Analyst

    Norstella (Tallahassee, FL)
    Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
    Norstella (07/31/25)
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  • Facilities Analyst

    Cushman & Wakefield (Tallahassee, FL)
    **Job Title** Facilities Analyst **Job Description Summary** Under the supervision of the Facilities Manager, the Facility Analyst will manage and troubleshoot ... that arise in the client retail stores. The Facility Analyst is charged with ensuring that vendors and projects...needs of the tenants, environmental health and safety, and quality programs, in coordination with the client's goals and… more
    Cushman & Wakefield (08/19/25)
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  • Senior Internal Business Systems Analyst

    Highmark Health (Tallahassee, FL)
    …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
    Highmark Health (07/11/25)
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  • Senior Analyst , Medical Economics - REMOTE

    Molina Healthcare (Jacksonville, FL)
    …+ Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... **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
    Molina Healthcare (07/10/25)
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  • Appeals and Grievance Analyst

    Point32Health (FL)
    …not-for-profit health and well-being organization dedicated to delivering high- quality , affordable healthcare. Serving nearly 2 million members, Point32Health ... direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and… more
    Point32Health (08/16/25)
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  • Senior Reporting Analyst

    CVS Health (Tallahassee, FL)
    …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...reporting using SQL and SAS. You will continuously improve quality controls and accuracy of reported data, looking for… more
    CVS Health (08/16/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Tallahassee, FL)
    …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (08/14/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Tallahassee, FL)
    …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
    Prime Therapeutics (08/14/25)
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  • Manager, Claims Modernization, Reporting…

    Healthfirst (FL)
    …and consumable information to department leaders. + Define and implement metrics, quality benchmarks and related analysis on performance and service levels to inform ... peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for… more
    Healthfirst (08/14/25)
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  • Senior Analyst , Healthcare Analytics

    Molina Healthcare (Tampa, FL)
    **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… more
    Molina Healthcare (08/22/25)
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