- Molina Healthcare (Miami, FL)
- …maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply ... * Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems . * Participates in defect… more
- Molina Healthcare (St. Petersburg, FL)
- …maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply ... * Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems . * Participates in defect… 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 (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing ... * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages...and manages information from large data sources. * Analyzes claims and other data sources to identify early signs… more
- Molina Healthcare (Jacksonville, FL)
- …care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- Molina Healthcare (Jacksonville, FL)
- …care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- 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 ... or reference table information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component + Assists with… more
- Highmark Health (Tallahassee, FL)
- …you will play a critical part in supporting United Concordia's dental claims operations by investigating and resolving system issues, managing a dynamic backlog ... team effectiveness. This is an opportunity to make a direct impact on claims processing efficiency and member satisfaction while working alongside a dedicated and… more
- Molina Healthcare (Miami, FL)
- …not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- University of Miami (Miami, FL)
- …duties or responsibilities as necessary. CORE QUALIFICATIONS: + Bachelor's degree in Healthcare Administration, Information Systems , or related field. + Minimum ... Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications...3 years of experience as an Epic HB Analyst in a healthcare setting. + Epic… more