- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. **Overview** The Senior Analyst supports Product Analytics by making data accessible and actionable for ... in business analytics. + Familiarity with medical and pharmacy claims datasets and healthcare analytics. + Excellent verbal and written communication skills,… more
- Molina Healthcare (Tampa, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Senior Market Finance Professional supports more than half of Humana's Medicaid business , ... CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- CVS Health (Tallahassee, FL)
- …each and every day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact ... business management solutions with small project speed to market...- Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …+ of required insurance documents. + Develops and maintains an understanding of business areas, its products, and general functions. + Assists with the monitoring of ... claims . + Supports colleagues with gathering the data collection...skills. . Fundamental concepts of insurance policy renewals and claims handling. + Insurance industry and terminology. . Fundamental… more
- Evolent (Tallahassee, FL)
- … business customers. + Act as a thought partner to senior stakeholders, proactively identifying business challenges, refining analytical approaches, and ... drive enterprise-wide decision-making. + Serve as a strategic advisor to senior leadership, proactively identifying business challenges and delivering… more
- Humana (Tallahassee, FL)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved… more