- 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
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… 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
- Prime Therapeutics (Tallahassee, FL)
- … Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance ... stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners… more
- Healthfirst (FL)
- …problem solving, and analytical skills. + Experience within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). ... peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for… more
- The Hartford (Lake Mary, FL)
- …theirs, too. Join our team as we help shape the future. As a Senior Specialist, Product Delivery Analyst , for the Shared Services PEG Implementation Team, ... experience preferred.* 2 years of Employee Benefits business experience in operations , claims , product, or underwriting.* Intellectually curious and have… more
- Highmark Health (Tallahassee, FL)
- …processes, Coordination of annual audits (such as PWC Revenue Audit and Support Senior Vice President of Operations in Monthly/Annual budget and expense analysis ... (BPIR), Eloquence and Collection of Documents (COD). Oversee day to day department operations . Manage AI Business Analyst staff and AI Coordinators. Responsible… more
- Air National Guard Units (Jacksonville, FL)
- …aircraft maintenance requirements and utilization scheduling between maintenance, operations , and external organizations. Actively participates in the Wing ... accuracy of unit flying hour allocations daily with Wing Operations Group and as directed with NGB AVDO and...as directed with NGB AVDO and the Flying Hour Analyst . Manages all assigned major commodity areas (Airframe, Engine,… more
- Ford Motor Company (Tallahassee, FL)
- **Technical Hotline and Dispute Resolution Analyst ** We are the movers of the world and the makers of the future. At Ford, we roll up our sleeves every day to build ... to reimagine the dealer support model, Service Engineering & Operations is establishing a dedicated team to manage and...Act as a liaison with Dispute Resolution Panels, Small Claims Court, and the Attorney General's Office + Provide… more