- Bank of America (Jacksonville, FL)
- …18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Wealth-Management-Fraud Claims Sr -Fraud- Analyst \_25028343) **Job ... Wealth Management Fraud & Claims - Sr . Fraud Analyst...reports of suspected fraudulent activity with accurate recording of data captured during client interactions + Follows established processes… more
- Prime Therapeutics (Tallahassee, FL)
- …drives every decision we make. **Job Posting Title** Data & Reporting Analyst Sr - Remote **Job Description** The Senior Data & Reporting Analyst ... or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation of quality process improvement… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data … more
- Norstella (Tallahassee, FL)
- Sr . Medical Analyst Company: MMIT Location: Remote, United...in need. We are seeking a Senior Medical Analyst to join our team and drive data -driven ... in healthcare data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and… more
- University of Miami (Miami, FL)
- …MU + Familiarity with health plan concepts and workflows + Familiarity with outside claims data ingestion. + Ability to communicate effectively in both oral and ... of Miami Health System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr . Analyst - Quality and Population Health. The Epic Sr . … more
- Evolent (Tallahassee, FL)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy,… more
- Molina Healthcare (St. Petersburg, FL)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of… more
- Molina Healthcare (FL)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- USAA (Tampa, FL)
- …inspire change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes, ... position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of...Actuary and Analytic community, which is part of P&C Data Science. They be responsible for delivering insights to… more
- MetLife (Tampa, FL)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... of data . Provides timely and meaningful feedback to associates and...the training and procedures team. * Presents findings to Senior Level Management and other key stakeholders. * Coach… more