• Analyst , Claims Research (Remote)

    Molina Healthcare (Orlando, FL)
    JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... research findings and results to leadership and respective operations teams. * Manages and leads major claims... operations teams. * Manages and leads major claims projects of considerable complexity and volume that may… more
    Molina Healthcare (12/28/25)
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  • Senior Stop Loss Claims Analyst

    Highmark Health (Tallahassee, FL)
    …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
    Highmark Health (12/23/25)
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  • Workers Compensation Claims Analyst

    Travel + Leisure Co. (Orlando, FL)
    …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... within the RMIS. + Ensure data integrity throughout the claims process. + Collaborate with HR, Operations ,...the claims process. + Collaborate with HR, Operations , Loss Prevention, adjusters, brokers, and legal teams to… more
    Travel + Leisure Co. (12/09/25)
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  • Medical Claims Analyst

    TEKsystems (Tampa, FL)
    …+ Extensive understanding of the Revenue Cycle + Experience working as a Medical Claims Analyst + Experience and knowledge in Medical Billing, Claims ... refund resolution. The ideal candidate will have strong analytical skills, medical claims experience, and the ability to navigate complex systems while maintaining… more
    TEKsystems (12/20/25)
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  • Benefit and Claims Analyst

    Highmark Health (Tallahassee, FL)
    …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position...have the ability to apply knowledge about the business operations of the area within the defined scope of… more
    Highmark Health (12/18/25)
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  • PFML Sr Operations Quality Analyst

    MetLife (Tampa, FL)
    …You'll Help Us Build a Confident Future (Key Responsibilities): The PFML Senior Operations Quality Analyst is responsible for: * Evaluating and improving ... our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers,...is a diverse team of engineers, developers, business analysts, claims analysts and project managers who collaborate to create… more
    MetLife (12/21/25)
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  • Financial Operations Analyst Lead

    Elevance Health (Tampa, FL)
    **Financial Operations Analyst Lead** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... unnecessary medical-expense spending. **Location:** Tampa, FL, Norfolk, VA The **Financial Operations Analyst Lead** is responsible for analyzing data and… more
    Elevance Health (12/31/25)
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  • Epic Analyst -Hospital Billing

    University of Miami (Miami, FL)
    …of Miami Health System IT Department has an opportunity for a full-time Epic Analyst - Hospital Billing. The Epic Analyst - Hospital Billing assists Associate Epic ... to optimize the application's configuration, function, and access. The Epic Analyst facilitates day-to-day application support and resolving application issues and… more
    University of Miami (12/20/25)
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  • Contract Support and RCM Analyst

    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 ... To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim… more
    Public Consulting Group (12/02/25)
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  • Lead Networx Analyst , Contract…

    Molina Healthcare (St. Petersburg, FL)
    …At least 5 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
    Molina Healthcare (12/26/25)
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