• Senior Business Analyst…

    Molina Healthcare (Miami, FL)
    **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements… more
    Molina Healthcare (07/30/25)
    - Related Jobs

  • Decision Science Analyst Senior…

    USAA (Tampa, FL)
    …all things Service to better serve USAA's members. They will closely collaborate with Claims leaders and business partners to deliver on Claims commitments ... position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of...and deliverables** . Provide decision support for business areas across the enterprise. Staff in this area… more
    USAA (07/09/25)
    - Related Jobs

  • ADA Senior Quality Claims…

    MetLife (Tampa, FL)
    …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... quality improvements to the training and procedures team. * Presents findings to Senior Level Management and other key stakeholders. * Coach and mentor ADA… more
    MetLife (06/13/25)
    - Related Jobs

  • Senior Internal Business Systems…

    Highmark Health (Tallahassee, FL)
    …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 processes, and implement… more
    Highmark Health (07/11/25)
    - Related Jobs

  • Senior Health Economics Analyst

    ChenMed (Miami, FL)
    …We're rapidly expanding and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven ... data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the opportunity for impact and… more
    ChenMed (07/15/25)
    - Related Jobs

  • Senior Analyst , Healthcare…

    Evolent (Tallahassee, FL)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
    Evolent (07/31/25)
    - Related Jobs

  • Business Audit - Senior…

    CVS Health (Tallahassee, FL)
    …role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims ... educating pharmacies on the findings. You will also analyze claims for fraud, waste, and abuse trends and report...manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations including… more
    CVS Health (05/16/25)
    - Related Jobs

  • Senior Analyst , Medical Economics…

    Molina Healthcare (Jacksonville, 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...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
    Molina Healthcare (07/10/25)
    - Related Jobs

  • Senior Analyst , Healthcare…

    Molina Healthcare (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 (07/17/25)
    - Related Jobs

  • Treasury - Senior Quality Analyst

    Bank of America (Jacksonville, FL)
    Treasury - Senior Quality Analyst Phoenix, Arizona;Jacksonville, Florida **To proceed with your application, you must be at least 18 years of age.** Acknowledge ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Phoenix/Treasury Senior -Quality- Analyst \_25030326) **Job Description:** At Bank of America,… more
    Bank of America (07/25/25)
    - Related Jobs