• STD Senior Quality Analyst

    MetLife (Tampa, FL)
    …for meetings How You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Quality Analyst is responsible for: * Working with senior ... functions meet quality and performance standards. * Evaluating and improving business and associate performance by effectively conducting quality evaluations of… more
    MetLife (08/14/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Tampa, FL)
    **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives ... by translating healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst - Informatics, Fully…

    CVS Health (Tallahassee, FL)
    …be willing to work EST time zone hours.** **Position Summary** We are hiring a Senior Analyst to support the Complaint, Grievances and Appeals (CG&A) team. This ... and answering ad-hoc requests + Work closely with analysts and other business partners to gather requirements and understand the reporting needs for ad-hoc… more
    CVS Health (08/31/25)
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  • Senior Analyst , Product…

    CVS Health (Tallahassee, FL)
    …each and every day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact ... business management solutions with small project speed to market...+ Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and… more
    CVS Health (08/21/25)
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  • Senior Analyst , Special…

    CVS Health (Tallahassee, FL)
    …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more
    CVS Health (08/24/25)
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  • Senior Clinical & Population Health…

    Highmark Health (Tallahassee, FL)
    …in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL ... strategic priorities, needs, plans and resources. + Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought… more
    Highmark Health (07/22/25)
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  • Health Plan Data Analyst

    AdventHealth (Altamonte Springs, FL)
    …providing actionable data to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders, leaders, health plans, ... critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR...Business Objects + working with healthcare, insurance or claims data + Six Sigma certified This facility is… more
    AdventHealth (08/07/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Tallahassee, FL)
    …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
    Humana (08/14/25)
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  • Risk Adjustment Audit Operations Analyst…

    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
    Molina Healthcare (08/08/25)
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  • Data Analyst Manager

    Sedgwick (Jacksonville, FL)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... and provides analysis for forecasting and/or benchmarking used by senior management. + Reports directly to senior ...education and experience required to include four (4) years business experience in an insurance related field and four… more
    Sedgwick (08/27/25)
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