- Robert Half Technology (Tampa, FL)
- Description Robert Half has an exciting opening for a Claims Business Analyst with an Insurance client based here in Tampa, FL. Position kicks off on-site ... (or Banking) + Experience w/ Guidewire Software and ClaimCenter Summary: The Claims Business Analyst will work with stakeholders across the enterprise to… more
- Molina Healthcare (Tampa, 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 (Tampa, FL)
- ** Business Information Analyst Senior - Medicaid Encounters Data** The ** Business Information Analyst Senior** is responsible for analyzing and ... and other regulatory reporting requirements. + Develop and analyze business performance reports (eg, for claims data,...and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Molina Healthcare (Tampa, FL)
- …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Molina Healthcare (Tampa, 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
- Sedgwick (Tampa, FL)
- …Fortune Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Job Description Join us in delivering cutting-edge technology solutions ... : To review, analyze and document software requirements and to lead the business analysis phase for projects. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Leads the… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
- Elevance Health (Tampa, FL)
- **Senior Health Economics Analyst ** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, ... eligible for current or future VISA sponsorship._ The **Senior Health Economics Analyst ** provides analytical support to the Cost of Care and/or Provider Contracting… more