• Analyst , Claims Research

    Molina Healthcare (Miami, 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
    Molina Healthcare (12/28/25)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (Jacksonville, FL)
    research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
    Molina Healthcare (11/21/25)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (Tampa, FL)
    research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
    Molina Healthcare (10/25/25)
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  • Contract Support and RCM Analyst

    Public Consulting Group (Tallahassee, FL)
    …claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with ... claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with… more
    Public Consulting Group (12/02/25)
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  • Clinical Dispute Analyst

    Zelis (St. Petersburg, FL)
    …that shape who you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility and provider disputes as ... will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence...reviews and provide support where needed for inquiries and research requests. + Create and present education to Expert… more
    Zelis (12/17/25)
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  • Sr Data Governance Analyst 3

    Baylor Scott & White Health (Tallahassee, FL)
    **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...and promotes consistent, high-quality analytics across the enterprise. 100% remote position **_The pay range for this position is… more
    Baylor Scott & White Health (12/25/25)
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  • Systems Project Analyst

    MyFlorida (Tallahassee, FL)
    SYSTEMS PROJECT ANALYST - 79000755 Date: Dec 18, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 866533 Agency: Business and Professional Regulations Working Title: SYSTEMS PROJECT ANALYST - 79000755 Pay Plan: Career Service Position Number: 79000755 Salary:… more
    MyFlorida (12/18/25)
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  • Sr. Medical Analyst , RWD

    Norstella (Tallahassee, FL)
    Sr. Medical Analyst , RWD Company: MMIT Location: Remote , United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
    Norstella (10/28/25)
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  • Sr. Medicare (PPS) Provider Hospital Reimbursement…

    Humana (Tallahassee, FL)
    …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
    Humana (12/19/25)
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