- 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...the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for… more
- Molina Healthcare (St. Petersburg, FL)
- …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and ... Experience** + 0-2 years of experience in data analytics, business intelligence, or healthcare operations + Foundational...Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters,… more
- Molina Healthcare (Orlando, FL)
- **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
- University of Miami (Miami, FL)
- …UHealth-University of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business ... strategies that enhance overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established… more
- Molina Healthcare (Tampa, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- LogixHealth (Dania, FL)
- …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... Location: On-Site in Dania, FL $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to provide… more
- AdventHealth (Maitland, FL)
- …timely. **The expertise and experiences you'll need to succeed:** + 3 years Healthcare , Managed Care, Hospital or Ancillary claims analysis, Hospital or ... FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify,...or related field with bachelors degree + 5 years Healthcare , Managed Care, Hospital or Ancillary claims … more
- Elevance Health (Tampa, FL)
- …are strongly preferred. + Knowledge of SAS. + Knowledge of systems capabilities and Healthcare business operations. + ASC X12 837 EDI experience. + Intermediate ... ** Business Information Analyst Senior - Medicaid...Analyst Senior** is responsible for analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare… more
- Molina Healthcare (Tampa, FL)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- 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