- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements… more
- USAA (Tampa, FL)
- …all things Service to better serve USAA's members. They will closely collaborate with Claims leaders and business partners to deliver on Claims commitments ... position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of...and deliverables** . Provide decision support for business areas across the enterprise. Staff in this area… more
- USAA (Tampa, FL)
- …Relocation assistance is not available for this position. Provide decision support for business areas across the enterprise. Staff in this area will be responsible ... approaches to draw conclusions and make 'insight to action' recommendations to answer business objectives and inspire change. The essence of work performed by the… more
- AdventHealth (Maitland, FL)
- …**Job Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to ... sources of data to support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and… more
- Highmark Health (Tallahassee, FL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven ... data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the opportunity for impact and… more
- Evolent (Tallahassee, FL)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- CVS Health (Tallahassee, FL)
- …role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims ... educating pharmacies on the findings. You will also analyze claims for fraud, waste, and abuse trends and report...manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations including… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... key business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
Recent Jobs
-
Box Truck Delivery Driver & Installer (Trade Show & Events)
- CORT (Anaheim, CA)
-
Senior Product Marketing Manager, Ads
- DoorDash (New York, NY)