- ChenMed (Miami, FL)
- …need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data -driven insights and analytical ... -driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the opportunity for impact and… more
- Elevance Health (FL)
- **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon… more
- Evolent (Tallahassee, FL)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The ** Senior Analyst , Utilization Management** plays a critical role in supporting clinical and ... in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs + Experience… more
- Cognizant (Sarasota, FL)
- …clients lead with digital at www.cognizant.com . Cognizant Technology Solutions is looking for " Senior Duck Creek Business Analyst " to join the team of IT ... States. **Job Summary** Looking for strong Duck Creek Functional analyst / Business Analyst to work closely...and understanding requirements etc. Experience with the Billing and Claims configuration knowledge Data Insight producer policy… more
- Highmark Health (Tallahassee, FL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- ChenMed (Miami, FL)
- …business planning, process improvement, solution assessment, etc. + Analyzesand validatespayer claims data .Assistsmarkets to identify factors driving claims ... great people to join our team. The Actuarial Services Analyst is responsible for managing and tracking the risk...of revenue, reserves and/or cash flow projections. + Identifies data patterns and trends, and provides insights to enhance… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current… more
- Molina Healthcare (Orlando, FL)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
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