• Health Plan Data Analyst

    AdventHealth (Altamonte Springs, FL)
    …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 the benefits and...interfaces such as Tableau, Business Objects + working with healthcare , insurance or claims data + Six… more
    AdventHealth (08/07/25)
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  • Lead Analyst , Claims / Regulatory…

    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
    Molina Healthcare (06/18/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (St. Petersburg, FL)
    …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired +… more
    Molina Healthcare (07/17/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Miami, FL)
    …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... to provide analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI, Excel, Power Pivot, VBA, Macros,… more
    Molina Healthcare (08/14/25)
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  • Senior Analyst , Healthcare…

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

    Molina Healthcare (Orlando, FL)
    **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... + Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL… more
    Molina Healthcare (07/30/25)
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  • Lead Analyst , Payment Integrity

    Molina Healthcare (Tampa, FL)
    …trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
    Molina Healthcare (08/20/25)
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  • Lead Analyst , Configuration Oversight…

    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
    Molina Healthcare (07/24/25)
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  • Senior Analyst , Healthcare…

    Evolent (Tallahassee, FL)
    …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
    Evolent (07/31/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (FL)
    … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
    Molina Healthcare (08/31/25)
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