- 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
- WTW (Miami, FL)
- **Description** We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims ... such as supporting the effective management, analysis, and resolution of claims , ensuring accurate processing and timely communication between clients, reinsurers,… 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
- USAA (Tampa, FL)
- …makes us special and impactful. **The Opportunity** As a dedicated Decision Science Analyst Senior , you will provide decision support for business areas across ... change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes, transactions,… 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
- AdventHealth (Maitland, FL)
- …complex and varied healthcare data analysis, including financial modeling and risk forecasting. Identifies and implements improvements in quality control and ... various sources using knowledge of healthcare managed care contracts and administrative claims data. Employs existing complex models and implements them on new… more
- Insight Global (Maitland, FL)
- …complex and varied healthcare data analysis, including financial modeling and risk forecasting. Identifies and implements improvements in quality control and ... various sources using knowledge of healthcare managed care contracts and administrative claims data. We are a company committed to creating diverse and inclusive… more
- AdventHealth (Maitland, FL)
- …complex and varied healthcare data analysis, including financial modeling and risk forecasting. + Identifies and implements improvements in quality control and ... sources using knowledge of healthcare managed care contracts and administrative claims data. **The expertise and experiences you'll need to succeed:**… more