• Lead Analyst , Claims…

    Molina Healthcare (Jacksonville, FL)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
    Molina Healthcare (06/18/25)
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  • Lead Analyst , Configuration…

    Molina Healthcare (St. Petersburg, FL)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong… more
    Molina Healthcare (07/24/25)
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  • Senior Internal Business Systems Analyst

    Highmark Health (Tallahassee, FL)
    …MUST 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… more
    Highmark Health (07/11/25)
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  • Pricing Analyst Sr - Strong SQL/GCP…

    Prime Therapeutics (Tallahassee, FL)
    …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Analyst participates in the assessment of value generated by...or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation… more
    Prime Therapeutics (08/01/25)
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  • Senior Clinical & Population Health Analyst

    Highmark Health (Tallahassee, FL)
    …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... and non-technical, and internal and external audiences, and the ability to lead through influence + Healthcare industry expertise and experience, knowledge about the… more
    Highmark Health (07/22/25)
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