- Cognizant (Tallahassee, FL)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- TEKsystems (Deerfield Beach, FL)
- …a leading North American provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description Are you ... shift gears in your career? We are seeking Mechanical Claims Analysts to join our expanding customer contact team....connection and a quiet at-home workspace is required for remote and hybrid schedules Experience with Labor guides -All… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Orlando, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Elevance Health (Miami, FL)
- ** Business Analyst II MBHP EDI Encounters** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... GA, Durham, NC, Richmond, VA or Latham, NY. The ** Business Analyst II MBHP EDI** **Encounters** is...Capabilities and Experiences:** + Knowledge of systems capabilities and business operations highly preferred. + Strong claims … more
- The Hartford (Lake Mary, FL)
- …too. Join our team as we help shape the future. The Leave Management Analyst primarily investigates claims to determine if the insured person qualifies for ... Ability Analyst - C410AN We're determined to make a...Training: 4 Weeks Work Hours After Training: Monday-Friday; core business hours with flexible start and end times This… more
- Centene Corporation (Tallahassee, FL)
- …of business process analysis, preferably healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. ... flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business… more