- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research . ... The Sr. Analyst , Claims Research serves as a senior-level subject matter expert in...regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated… more
- Molina Healthcare (Tampa, FL)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Highmark Health (Tallahassee, FL)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Epic Analyst - Hospital Billing. The Epic Analyst - Hospital Billing assists Associate Epic ... to optimize the application's configuration, function, and access. The Epic Analyst facilitates day-to-day application support and resolving application issues and… more
- Molina Healthcare (St. Petersburg, FL)
- …system tables in the user interface. * Applies experience and knowledge to research and resolve claim/encounter issues and pended claims , and updates system(s) ... JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely… more
- Molina Healthcare (FL)
- …system tables in the user interface. * Applies experience and knowledge to research and resolve claim/encounter issues and pended claims , and updates system(s) ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… 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 the ... change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes, transactions,… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central ... overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, systems, methods,… more
- MyFlorida (Orlando, FL)
- MEDICAID FRAUD ANALYST II - 41001293 Date: Jan 8, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 867678 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41001293 Pay Plan: Career Service Position Number: 41001293 Salary:… more
- Evolent (Tallahassee, FL)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... Evolent and its customers in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols during client onboarding and… more