- Humana (Tallahassee, FL)
- …CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion ... data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. + Deliver project-based and ad-hoc reporting for Medicaid… more
- Deloitte (Miami, FL)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Analyst you will have the ability to share new ideas and collaborate on ... solutions are powered by engineering for business advantage, transforming mission-critical operations . We enable clients to stay ahead with the latest advancements… 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 ... out of the box management and integration solutions for our various enterprise operations teams using a variety of platforms. We service medical, pharmacy, sales,… more
- Navy Federal Credit Union (Pensacola, FL)
- Overview The Fraud Operations Recovery team focuses on investigating and resolving fraudulent debit and credit card transactions reported by our members. The ... investigators responsibilities include validating claims , processing chargebacks, responding to merchant disputes, and ensuring compliance with federal regulations.… more
- Molina Healthcare (St. Petersburg, FL)
- …providing business process redesign, communication and change management for operations . Backend operationalization of policies, standardization of system set-up and ... to maintain and/or create business process documentation and workflows related to Core Operations functions. + Serve as liaison between Core Operations and… more
- Cardinal Health (Tallahassee, FL)
- …Sales Tools/Productivity Improvement contributes to Cardinal Health_** Sales Administration/ Operations is responsible for supporting the sales organization and ... data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that… more
- Highmark Health (Tallahassee, FL)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... identification and resolution activities, maintains program/system documentation and prepares/maintains operations documentation for assigned applications. + Utilize or lead… more
- Public Consulting Group (Tallahassee, FL)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more
- Air National Guard Units (Macdill AFB, FL)
- …mode (ATM). Develops plans for employment of communications systems to support operations in support of training and the deployed warfighter. Plans and designs ... in work such as computer operator or assistant, computer sales representative, program analyst , or other positions that required the use or adaptation of computer… more
- ChenMed (Miami, FL)
- …in this role assists with the strategic alignment and oversight of claims assembly and submission processes. In close collaboration with Billing, Coding, IT, ... the revenue management cycle. + Works closely with RCM Operations leader to provide insights into areas of strategic...minimum of five (5) years of direct hands-on process analyst experience in a relevant technical process role; including… more