- Travel + Leisure Co. (Orlando, FL)
- …crucial role as part of a high-performing, results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all aspects ... into exceptional experiences for millions of travelers worldwide. The ** Senior Property Claims Analyst ** will...or capture new property data points such as valuations, claims , or organizational process improvements into the risk… more
- Highmark Health (Tallahassee, FL)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with...various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards.… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... adjustment and settlement requests with summaries and rationale for senior management approval. + Ensure all reserve and settlement...Degree or equivalent work experience + AIC (Associate in Claims ) or ARM (Associate in Risk Management)… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... and manages information from large data sources. * Analyzes claims and other data sources to identify early signs...tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to… more
- ChenMed (Miami, FL)
- …we need great people to join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for proactively ... tracking the risk positions within ChenMed and understanding performance under VBC...improvement, solution assessment, etc. + Analyzes and validates payer claims data. Assists markets to identify factors driving … more
- Molina Healthcare (Miami, 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...deep dive to support HEDIS audit and revenue at risk reporting. + Calculate and track HEDIS rates for… more
- Sedgwick (Tallahassee, FL)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage...and provides analysis for forecasting and/or benchmarking used by senior management. + Reports directly to senior … more