- Norstella (Tallahassee, FL)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- MyFlorida (Tallahassee, FL)
- 68039493 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Dec 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 866293 Agency: Agency for Health Care Administration Working Title: 68039493 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number:… more
- CVS Health (Tallahassee, FL)
- …Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -MedCompass, CEC, or ... Summary** **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- Elevance Health (Miami, FL)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Centene Corporation (Tallahassee, FL)
- …and visualization tools. **Provider:** Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data ... HBR Analytics:** Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- CVS Health (Tallahassee, FL)
- …The ** Claim Field Analyst ** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could be ... with heart, each and every day. **Position Summary** The ** Claim Field Analyst ** acts as the primary...assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... organization. This cost management role would consist of proactive claim administration for workers' compensation claims by...seasonal associates are ineligible for Paid Time Off._** + Medical + Dental + Vision + Flexible spending accounts… more
- WTW (Miami, FL)
- **Description** We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims ... such as supporting the effective management, analysis, and resolution of claims , ensuring accurate processing and timely communication between clients, reinsurers,… more
- Molina Healthcare (FL)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Molina Healthcare (St. Petersburg, FL)
- …+ QNXT **Job Qualifications** **REQUIRED QUALIFICATIONS:** + 5+ years of experience in medical claims processing, research, or a related field. + Demonstrated ... **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support...cause analysis, and project management. + Advanced knowledge of medical billing codes and claims adjudication processes.… more