- Molina Healthcare (South Florida, FL)
- …formal training in Business Analysis and/or Systems Analysis + 1+ years claims background To all current Molina employees: If you are interested in applying for ... **JOB DESCRIPTION** This position is remote and employee must reside in Florida **Job...employee must reside in Florida **Job Summary** Analyzes complex business problems and issues using data from internal and… more
- Acosta Group (Tampa, 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...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Zelis (St. Petersburg, FL)
- Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ... of the Product team to facilitate clear and open communication between Business Owners, Scrum/Development, Quality Assurance, UAT and Product Owners. This role… more
- Sedgwick (Tallahassee, FL)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... to meet established operational and technical audit requirements. + Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and national… more
- Carrington (Jacksonville, FL)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which ... consults with the business , designs solutions, and...reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build… more
- Centene Corporation (Tallahassee, FL)
- …in Florida. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business ... processes. + Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation. + Identify ways to enhance… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, document, develop and ... Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- AssistRx (Orlando, FL)
- The Data Quality Analyst is responsible for acquiring, managing and analyzing data that will be presented to internal teams, clients and partners. The Data ... Analyst leads the onboarding of electronic data trading partners...issues. Successful applicants will have experience with Excel Pharmacy Claims experience is a huge plus Requirements + Developing… more
- Healthfirst (FL)
- …structured testing methodology, with a proven ability to breakdown business requirements/functional/non-functional requirements into high and detailed test cases and ... test scenarios. Experience with Healthcare specifically in Claims , Enrollment, EDI/BizTalk applications a plus. Develops test plans, test strategies, end to end test… more
- Intermountain Health (Tallahassee, FL)
- …understanding and knowledge of the concepts and principals outlined within the Business Analyst Body of Knowledge (BABOK) guide. **Physical Requirements:** + ... **Job Description:** As a Business Systems Analyst , you will work...Requirements may be specific to healthcare insurance products, enrollment, claims , sales activities or other service-related processes; all in… more