- WESCO (Orlando, FL)
- …practices. + Participate in audits, insurer reviews, and renewal processes by providing claims data and program insights. + Promote and advocate Risk Management ... As an Analyst - Risk Management ( Claims ), you...(HR, legal, site leadership) and external stakeholders with gathering data to move claims forward to timely… more
- Molina Healthcare (Jacksonville, FL)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of… more
- Healthfirst (FL)
- …Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation, budgeting or internal audit processes. + Experience monitoring ... Job Description + Deliver data -driven analytics solutions and visualizations provide meaningful, accurate, and consumable information to department leaders. + Define… more
- AdventHealth (Altamonte Springs, FL)
- …are being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data ) analytics to gain ... **Health Plan Data Analyst ** **AdventHealth PHSO Resources** **All...Tableau, Business Objects + working with healthcare, insurance or claims data + Six Sigma certified This… more
- Lyric (Tallahassee, FL)
- …leveraging advanced coding, analytic reporting , and predictive modeling, the Clinical Data Analyst - Staff uncovers actionable insights that drive innovation ... not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal...experts, payment professionals, and business operations leaders to develop reporting and analyze large-scale healthcare claims and… more
- Sedgwick (Orlando, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Sr **PRIMARY PURPOSE OF THE ROLE** : To create comprehensive ... reporting and analysis of statistical data ; to...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- AdventHealth (Maitland, FL)
- …: Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and ... person is responsible for compiling and analyzing multiple sources of data to support executive decision-making regarding contract violations. The Senior Compliance… more
- Molina Healthcare (Tampa, FL)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
- Prime Therapeutics (Tallahassee, FL)
- …and assists with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess ... drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst... extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify… 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