- Molina Healthcare (Miami, FL)
- …Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required ... used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** Responsible for providing business process redesign, communication and change management for operations. Backend ... + Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with… more
- Elevance Health (Miami, FL)
- … writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business processes, and internal ... **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to...with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear,… more
- University of Miami (Miami, FL)
- …Systems, or related field. + Minimum 3 years of experience as an Epic HB Analyst in a healthcare setting. + Epic HB certification required; additional Epic ... IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists...+ Become s knowledgeable about UHealth's policies, procedures, and business operations. + Adheres to University and unit-level policies… more
- Evolent (Tallahassee, FL)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...**What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims , membership,… more
- Cardinal Health (Tallahassee, FL)
- …or equivalent work experience, preferred + Knowledge of insurance billing, Medicare claims , and audit processes. + Familiarity with healthcare compliance issues ... **_What Revenue Cycle Management- Analyst contributes to Cardinal Health_** **_Fully Remote: Monday...and HIPAA regulations. + Proficiency in basic math, business calculations, and MS Office. + Effective communication and… more
- Prime Therapeutics (Tallahassee, FL)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates… more
- MyFlorida (Tallahassee, FL)
- 68064693 - MEDICAL HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Care Administration Working Title: 68064693 - MEDICAL HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064693 Salary: $1,833.39 Biweekly… more
- MyFlorida (Tallahassee, FL)
- 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Care Administration Working Title: 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Position Number: 68900202 Salary: $20.00 Hourly Posting Closing Date:… more