- Deloitte (Jacksonville, FL)
- …adherence to best practices, coding standards and improved time to delivery. Perform data quality unit testing, integrity testing, UAT and implementing data ... you'll do Design and develop automated technology solutions to support the data and reporting needs of the business. Understand Azure infrastructure and… more
- Baylor Scott & White Health (Tallahassee, FL)
- …and other customers. + Head validation of output and metrics to ensure data quality, reliability, and integrity . + Document project/work assignments to include ... initiatives. The Sr. Marketing Analyst will work cross-functionally with marketing, data architecture and engineers, and other business stakeholders to design,… more
- HCA Healthcare (Gainesville, FL)
- …to 60% travel.** **Introduction** Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an ... caring group of colleagues. Do you want to work as a Revenue Integrity Charge Review Analyst where your passion for creating positive patient interactions is… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied… more
- Molina Healthcare (Jacksonville, FL)
- …role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon ... coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership**… more
- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Revenue Integrity Charge Analyst you want with your current employer? We have an exciting ... colleagues. Do you want to work as a Revenue Integrity Charge Analyst where your passion for creating positive...too. + Monitors daily ancillary charge report and other data analytic tools to identify total charge and potential… more
- Humana (Tallahassee, FL)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This role requires in ... depth knowledge of subrogation/payment integrity methodologies regarding third party liabilities and procedures, as...process to make use of COB MSP Part C&D data provided by CMS to payers to properly analyze… more
- Molina Healthcare (Tampa, FL)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health Plan ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations,… more
- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working in… more
- Molina Healthcare (St. Petersburg, FL)
- …a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... managed care is required, and a background in payment integrity -either at a health plan or vendor-is strongly preferred....junior analysts, as needed. + Utilizes SQL to pull data for review and distribution. + Accurately interprets end… more