- USAA (Tampa, FL)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… more
- 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 ... with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Elicit requirements using… 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
- 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
- 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 ... operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM,… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- Highmark Health (Tallahassee, FL)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... federal, and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more
- Bristol Myers Squibb (Tampa, FL)
- …In this position, you will play a key role within the Medicaid Rebate Operations team, which manages the intake, processing, and payment of multiple labeler codes ... Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has...BMS Model N IT Support teams and Government Contract Operations team. **Responsibilities:** + Analyzing invoices and claim details… more