- Warner Music Group (Miami, FL)
- …retains the creative spirit of a nimble independent. **Job Title: Legal Analyst ** **Reports To: SVP, Business & Legal Affairs, Latin America** **Department: Business ... reviewing/ drafting contracts affecting copyrights, licenses, royalties, fees, assisting with claims and settlements, and leading contract deadlines along with other… more
- CVS Health (Tallahassee, FL)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... **Primary Job Duties & Responsibilities** Applies in-depth knowledge to lead and manage cross-functional projects, ensuring successful planning, execution, and… more
- Evolent (Tallahassee, FL)
- …audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract, ... manage, and analyze claims and operational data using industry-standard metrics. + Process...using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,… more
- Highmark Health (Tallahassee, FL)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... and non-technical, and internal and external audiences, and the ability to lead through influence + Healthcare industry expertise and experience, knowledge about the… more
- Molina Healthcare (Orlando, FL)
- …Prepare and design test plans and test cases with the help of testing lead for both new and existing features (regression testing). + Vendor Management: Provides ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
- Kemper (Jacksonville, FL)
- …drive business value. **Qualifications:** * 5+ years in data-centric roles ( analyst , developer, architect, consultant). * Experience functioning as or closely ... understanding of data and business architecture, with P&C Insurance and Claims experience preferred. * Excellent communication skills across disciplines and… more
- Acosta Group (Jacksonville, FL)
- …high-severity Workers' Compensation and liability claims . Supervise the Sr. Risk Claims Analyst and ensure alignment with best practices. + Vendor and ... Maintain accurate records of risk-related expenses and exposures.Training & Communication: + Lead training initiatives for business units on claims reporting,… more
- Molina Healthcare (FL)
- …of the role. + Validate findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Highmark Health (Tallahassee, FL)
- …issues affecting claims or inquiry processing with Membership and Billing personnel. Lead or participate in higher level AR tasks and projects, typically related ... and programs as necessary; may have budgetary responsibility and authority. + Lead daily Receivables Management operations. This is a "hands-on" position, requiring… more
- Prime Therapeutics (Tallahassee, FL)
- …tools, such as self-service capabilities and standard report packages. May lead efforts to create curriculum to improve user adoption. + Ensures ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more