- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior -level support for claims processing and claims research. ... Sr. Analyst , Claims Research serves as a senior -level subject matter expert in claims operations and research, leading the most complex and… more
- 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 ,...adjustment and settlement requests with summaries and rationale for senior management approval. + Ensure all reserve and settlement… more
- Elevance Health (FL)
- …for current or future visa sponsorship._ The ** Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior ) creates statistical models to ... ** Senior Healthcare Economics Analyst ** **Location:** This...metrics. Measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- Citigroup (Jacksonville, FL)
- The Fraud Ops Sr Analyst is a senior level positions responsible for contributing to the development of fraud management policies, processes and procedures to ... minimize the impact of fraud in coordination with the Operations - Services team.The overall objective of this role...of experience in a related role + Intermediate to senior level experience in a similar position preferred +… 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, providing ... CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion… 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
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit… more
- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Humana (Tallahassee, FL)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more
- Bank of America (Jacksonville, FL)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, Massachusetts; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/Fraud-Analytics-and-Innovation-Lead- Analyst Fraud-Strategy\_25042825-2) **Job Description:** At Bank of America, we… more