- Molina Healthcare (Jacksonville, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Insight Global (Boca Raton, FL)
- …will have a solid foundation and proven track record in Commercial Healthcare Insurance including claims processing, products, and benefits management. The ... Skills and Requirements 5+ years of experience working within the Commercial Healthcare Insurance industry, including claims processing, products, and benefits… more
- Norstella (Tallahassee, FL)
- …(MD/DO), or a related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic ... are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare … more
- CAI (Tallahassee, FL)
- …6 years of experience or equivalent higher education. Preferred experience in healthcare claims environment and reporting development, n-tier development and ... support, and Microsoft SQL database development including relational and star schema data warehouses + Microsoft data systems certifications such as MTA, MCSA, MCSE, ITIL v3, or equivalent + 2-year degree required. Applicable certifications may substitute… more
- Molina Healthcare (St. Petersburg, FL)
- …SQL and exposure to Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + ... opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and cross-functional collaboration. Success in this role… more
- CVS Health (Tallahassee, FL)
- … insurance or a highly regulated industry. + Strong knowledge of healthcare payer operations ( claims , eligibility, enrollment, prior authorization, provider ... data, user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications. + Identify… more
- Elevance Health (Tampa, FL)
- **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Cognizant (Tallahassee, FL)
- …a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor** ... responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits in assigned audit… more
- Elevance Health (Miami, FL)
- ** Claims Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... an accommodation is granted as required by law._ The ** Claims Auditor** **I** is responsible for pre and post...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more