- 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
- Evolent (Tallahassee, FL)
- …mission. Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem ... exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across...work experience + General knowledge of data flow and healthcare end to end system landscape + Good knowledge… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT ANALYST II - 64080602 Date: Aug 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858472 Agency: Department of Health Working Title: GOVERNMENT ANALYST II - 64080602 Pay Plan: Career Service Position Number: 64080602 Salary:… more
- Point32Health (FL)
- …health and well-being organization dedicated to delivering high-quality, affordable healthcare . Serving nearly 2 million members, Point32Health builds on the ... behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of… more
- Evolent (Tallahassee, FL)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- CVS Health (Tallahassee, FL)
- …evaluating and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth ... with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider… more
- 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 ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Elevance Health (Miami, FL)
- **HR/Associate Relations Business Information Analyst I** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... accommodation is granted as required by law._ The **HR/AR** **Business Information Analyst I** will be responsible for collecting, analyzing, and reporting on… more
- TEKsystems (Jacksonville, FL)
- Our client, a reputable healthcare company, is hiring for a Remote Charge Integrity Analyst role (MUST SIT IN EST) Job Description: + The Charge Integrity ... Analyst is tasked with working out of Epic work...have a strong understanding of Revenue Cycle, experience handling claims , and be able to work independently. Qualifications to… more
- CVS Health (Tallahassee, FL)
- …Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM ... our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more