- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- Molina Healthcare (Jacksonville, FL)
- …with appropriate departments, develops and tracks remediation plans, and monitors claims reprocessing through resolution . Interprets and presents in-depth ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst ... accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections activities conducted by a… more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Specialty & Home Delivery Program Analyst - Remote **Job Description** The Specialty & Home Delivery Program Analyst ... partners and Pharmacy Match product which may include implementations, projects, claims & performance guarantee monitoring, and testing. This position is responsible… more
- Highmark Health (Tallahassee, FL)
- …group administrators, brokers, and Agent Plan personnel to ensure the resolution of issues related to benefit interpretations, customer service inquiries, ... claims adjudication, benefits issues, membership and billing activity, etc....experience rated and community rated dental groups.The Client Benefit Analyst is responsible for providing or coordinating prompt support… more
- City of Boca Raton (Boca Raton, FL)
- …program. + Assists and advises employees on benefits matters regarding eligibility, claims resolution , coverage, and provisions. + Assist in coordinating and ... Benefits Analyst Print (https://www.governmentjobs.com/careers/bocaratonfl/jobs/newprint/4923618) Apply Benefits Analyst Salary $70,720.00 - $90,000.00… more
- ChenMed (Miami, FL)
- …we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support ... recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the opportunity for impact and advancement within the… more
- University of Miami (Miami, FL)
- …System IT Department has an opportunity for a full-time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior Analyst , Resolute Professional ... Epic Analysts and Epic Analysts on the team. The Epic Senior Analyst , Resolute Professional Billing initiates the implementation, builds, and modifies of the… more
- American States Utility Services (Eglin AFB, FL)
- " aria-level="2">Position Description Subcontract Analyst (11A.25) Location EGLIN AIR FORCE BASE, FL (ECUS) Job Code 11A.25 Pay range $74,929 - $124,982 Apply Now ... Involves critical thinking and analysis of significant issue identification and resolution . May require development of new contract policies and processes or… more
- Molina Healthcare (Orlando, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... claim payment system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of configuration standards… more