- Molina Healthcare (Jacksonville, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (St. Petersburg, FL)
- …pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be...team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data,… more
- 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 (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and… more
- Prime Therapeutics (Tallahassee, FL)
- …or Resource Manager to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across ... every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations...define, and document the requirements for changes to Prime's claims systems . **Responsibilities** + Ensure understanding of… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems ... that enhance overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, … more
- 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 (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 ... a willingness to engage with complex datasets across varied systems . The analyst will work closely with...Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters,… 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
- AdventHealth (Maitland, FL)
- …relates to reimbursement methodologies + Applies significant understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, ... timely. **The expertise and experiences you'll need to succeed:** + 3 years Healthcare , Managed Care, Hospital or Ancillary claims analysis, Hospital or… more