Actuarial Analyst II (Intermediate) – Forecasting Analytics USAAActuarial Analyst II (Intermediate) – Forecasting AnalyticsTampa, FL$77,120–$138,810 / yearIndependently applies actuarial methodologies to complete structured projects (e.g., Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale). Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTETallahassee, FLRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Senior Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncSenior Construction Claims Analyst (Full Time)Tampa, FL$107,000–$150,000 / yearMBP is looking for Senior Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Construction Claims Analyst/Lead Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncConstruction Claims Analyst/Lead Construction Claims Analyst (Full Time)Tampa, FL$82,000–$115,000 / yearMBP is looking for Construction Claims Analyst/Lead Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Claims Analyst Arrive LogisticsClaims AnalystTampa, FLYou will leverage advanced industry knowledge and business acumen to optimize claims operations, ensure financial integrity, and mentor junior team members, acting as a key cross-functional leader to protect the company's interests and drive strategic outcomes. This includes skillfully negotiating settlements, precisely processing all related financial transactions, and analyzing claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership.
Claims Analyst III Integrated Resources, IncClaims Analyst IIIDoral, FloridaContractorWill be utilizing Microsoft Excel heavily.*A minimum of 1-2 years' experience in claims processing with professionals or hospitals *Top 3 skills:Computer skills - Microsoft Excel (intermediate to advanced skills, i.e. pivot tables, v-look ups)Attention to detailStrong written communication skillsMust Haves:Claims backgroundKnowledge of billing guidelinesKnowledge of contract interpretationKnowledge of billing/coding - CPT & ICD-10Kind Regards,Arnab GhatakTechnical RecruiterIntegrated Resources, Inc. IT Life Sciences Allied Healthcare CROCertified MBE | GSA - Schedule 66 I GSA - Schedule 621IGold Seal JCAHO Certified for Health Care Staffing"INC 5 0 0 0 's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in a Row)
Employment Practices Liability Claims Analyst The Hartford Insurance Group IncEmployment Practices Liability Claims AnalystLake Mary, FL$82,800–$124,200 / yearCandidates should demonstrate the following competencies: Excellent oral and written communication skills; Strong strategic thinking abilities and execution skills; An ability to communicate thoughts clearly and concisely, and to influence and persuade others; Superior interpersonal skills, with an ability to work well as part of a team and/or in supporting roles. Experience, education and skills: Bachelor's degree required; professional designation and/or legal degree a plus; Insurance company (or law firm) experience a plus; Basic knowledge/understanding of professional lines, and/or litigated coverage and liability exposure desired; EPL a plus.
Epic HB Claims Analyst ClinDCastEpic HB Claims AnalystTampa/Orlando, FloridaAs a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.
Epic HB Claims Analyst ClinDCast LLCEpic HB Claims AnalystTampa/Orlando, FLFull timeThis role will partner with revenue cycle leadership, finance teams, operational stakeholders, and technical teams to improve billing accuracy, reimbursement, denial management, and overall revenue cycle performance. We are seeking an experienced Senior Epic Resolute Revenue Cycle Analyst/Administrator to support, optimize, and enhance Epic Hospital Billing (HB), Professional Billing (PB), and Single Billing Office (SBO) applications.
Epic Claims Analyst III StratAcuity Staffing Partners IncEpic Claims Analyst IIIFlorida, FLRemote$100,000–$120,000 / yearIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. The ideal candidate will have deep expertise in Epic Claims workflows, healthcare billing operations, and reimbursement processes, along with Epic certification in either Hospital Claims or Professional Claims.
Epic Certified Applications Analyst III Claims Expert In Recruitment SolutionsEpic Certified Applications Analyst III ClaimsHealth First, FLThe Epic Applications Analyst III drives performance improvement through data reporting, advanced configuration, and proactive system enhancements, ensuring reliable, secure, and user-friendly application functionality. Partners with cross-functional teams manage major EHR upgrades, requests for enhancements, testing cycles, and change management initiatives to drive performance improvement.
Vendor Claims Analyst I TD Synnex CorpVendor Claims Analyst IClearwater, FLConnect with Your Community: Participate in internal, peer-led inclusive communities and activities, including business resource groups, local volunteering events, and more environmental and social initiatives. Working closely with vendor partners and internal teams, you'll help resolve discrepancies, ensure financial accuracy, and contribute to business profitability.
Claims Analyst Arrive Logistics LLCClaims AnalystTampa, FLYou will leverage advanced industry knowledge and business acumen to optimize claims operations, ensure financial integrity, and mentor junior team members, acting as a key cross-functional leader to protect the company's interests and drive strategic outcomes. This includes skillfully negotiating settlements, precisely processing all related financial transactions, and analyzing claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership.
NewSenior Benefits Finance Analyst Page GroupSenior Benefits Finance AnalystPlantation, FL$40–$50 / hourYou'll have significant exposure to both Benefits and Corporate Finance , helping shape forecasting, cost strategy, vendor performance, and the long-term financial sustainability of U.S. benefit programs. We're partnering with a leading organization seeking a temp Senior Benefits Finance Analyst 6-month contract with the intention to convert to a permanent position.
VICTIM COMPENSATION CLAIMS ANALYST - 41000609 Government of FloridaVICTIM COMPENSATION CLAIMS ANALYST - 41000609TALLAHASSEE, FLDuties associated may include the following: Resolve compensability issues and independently determine eligibility for victim compensation benefits in accordance with established statutes, administrative rules, and procedures within two business days of receipt and with no margin of error; or, process and resolve caller inquiries received via the Automated Call Distribution toll-free victim services information and referral line, provider line, or agency call center. Qualifications: Three (3) years of relevant clerical or administrative experience in the areas of: accounting; claims processing; claims or benefits eligibility determination; social or victim services; disability examiner; claims adjuster; insurance adjuster; or case manager processing eligibility and benefit payments.
Claims & Billing Analyst Independent Living Systems LLCClaims & Billing AnalystMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The analyst collaborates closely with healthcare providers, insurance companies, and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.
Epic Certified Applications Analyst III - Claims (Revenue Cycle) Health First IncEpic Certified Applications Analyst III - Claims (Revenue Cycle)Rockledge, FLFocuses on the claims lifecycle, ensuring accurate claim submission, payer-specific formatting compliance, and optimal reimbursement within Epic; Epic certification/accreditation and claims analyst experience preferred. The Epic Applications Analyst III serves as project leader, collaborating with clinical, operational, and technical teams to ensure Epic systems are aligned with.
Senior Data Analyst - AI & Dermatology Claims Analytics Advanced Dermatology & Cosmetic SurgerySenior Data Analyst - AI & Dermatology Claims AnalyticsMaitland, FLLead analytics initiatives involving large dermatology claims, EMR, revenue cycle and operational datasets. Identify revenue leakage, denial trends, coding opportunities and reimbursement optimization opportunities.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeFLEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Senior Data Analyst - AI & Dermatology Claims Analytics Advanced DermatologySenior Data Analyst - AI & Dermatology Claims AnalyticsMaitland, FLAdvanced SQLPythonPower BIMicrosoft FabricAzure Data ServicesDatabricks or SnowflakeHealthcare data warehousingMachine learning and predictive analytics. Dual reporting relationship: Technical reporting to Chief Information Officer; Functional reporting to Vice President of FP&A.Acts as liaison between IT, Finance, Revenue Cycle, Clinical Operations and Executive Leadership.
Analyst, Claims Research Molina Healthcare IncAnalyst, Claims ResearchFLProvides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. Interprets, communicates, and presents, clear in-depth analysis of claims research results, root-cause analysis, remediation plans and fixes, overall progress, and status of impacted claims.
Lead Decision Science Analyst - P&C Claims GenAI USAALead Decision Science Analyst - P&C Claims GenAITampa, FL$143,320–$273,930 / yearFinally, the candidate must possess strong Business Translation & Decision Intelligence capabilities, enabling them to translate complex business problems into AI-driven decision strategies, define key success metrics, and integrate GenAI seamlessly into operational workflows. Researches and pursues the latest and/or industry leading practices in data and analytics, (Ex: Cloud, Data Mining, Python, Neural Networks, Sensor data, IoT, Streaming/NRT data) to advance the overall DSA community knowledge.
Senior Decision Science Analyst - P&C Claims GenAI USAASenior Decision Science Analyst - P&C Claims GenAITampa, FL$114,080–$218,030 / yearWhat you have: 6 years of data & analytics experience OR a minimum of 4 years of data & analytics experience and up to 2 years of progressive functional business relevant experience within the respective industry of responsibility (i.e. P&C, Bank, Finance, Marketing etc.) for a total of 6 years combined experience OR advanced degree in quantitative analytics field such as Economics, Finance, Statistics, Mathematics, Actuarial Sciences, Operations Research, Data and/or Business Analysis, Data Science or other quantitative discipline and 4 years of experience in data/analytics or functional business experience within the respective industry of responsibility (i.e. P&C, Bank, Finance, Marketing, etc.). Finally, the candidate must possess strong Business Translation & Decision Intelligence capabilities, enabling them to translate complex business problems into AI-driven decision strategies, define key success metrics, and integrate GenAI seamlessly into operational workflows.
Data Analyst (Medicaid / Claims) Siritech Solutions CorpData Analyst (Medicaid / Claims)Tallahassee, FLContractorThe ideal candidate will possess advanced analytical skills in SQL, SAS, Python, and data visualization platforms while working with large healthcare datasets, Medicaid claims, provider, eligibility, and encounter data. Job Description: Seeking an experienced Senior Data Analyst with strong expertise in Medicaid and healthcare claims data analysis to support enterprise reporting, program evaluation, operational analytics, and policy decision-making initiatives.
Lead Business Strategy Analyst - P&C Claims GenAI USAALead Business Strategy Analyst - P&C Claims GenAITampa, FL$127,310–$243,340 / year8 years of data and/or analytics or strategy consulting experience; OR a minimum of 6 years of data and/or analytics or strategy consulting experience and up to 2 years of progressive functional business relevant experience for a total of 8 years of combined experience; OR Advanced Degree in Business, Science, Finance, Economics or related discipline and 6 years of experience in data and/or analytics or strategy consulting. A strong Technical & Analytical Acumen is essential, encompassing a deep understanding of GenAI concepts, data and analytics architectures, AI solution design, and performance measurement to effectively guide both technical teams and business stakeholders.
NewClaims Quality Assurance Analyst First AcceptanceClaims Quality Assurance AnalystMarianna, FloridaRequires a minimum of 5 years of experience of claims handling; preferably with a strong focus in bodily injury and material damage handling. Reviews and monitors employees’ work to assess technical accuracy, customer service performance, and departmental conformity.
Expert Claims Review Business Analyst Zelis Healthcare, Inc.Expert Claims Review Business AnalystFL$71,000–$90,250 / yearPosition Overview: The Business Analyst is responsible for enabling high quality business analytics solutions in an Agile or Kanban context that deliver valued business outcomes and informed decisions for Zelis' key stakeholders. This person will act as liaison among Business Owners and/or Solutions Owners (i.e., Product Owner) to gather, analyze, document, communicate and validate business and system requirements and business methodologies.
Senior Director, Insurance Claims Advisory NTT DATA Group CorpSenior Director, Insurance Claims AdvisoryFL$160,000–$296,000 / yearEcosystem & Partnership Leadership: Develop joint GTM motions with key alliance partners and Independent Software Vendors (ISVs) in the insurance space (e.g., Guidewire, Duck Creek, Majesco, Verisk). to amplify market reach and deliver integrated client solutions. A critical component of this role is serving as the primary pre-sales Claims domain expert for the North American P&C and L&A sales team, translating complex IT capabilities into tangible business outcomes (e.g., improved claims efficiency, lower loss ratio).
Revenue Cycle & Claims Operations Lead Porter CaresRevenue Cycle & Claims Operations LeadPompano Beach, Florida$115,000–$150,000 / yearDriven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. Partner directly with Athena's professional services / support team to build and maintain custom rules that suppress inappropriate low-dollar (“penny claim”) edits and prevent unwanted allowable-amount or co-insurance recalculation on contracts where the full billed amount is the contracted rate.
IT Product Owner / Lead Business Analyst (Staff) - Incurred Cost Claim Lockheed Martin CorpIT Product Owner / Lead Business Analyst (Staff) - Incurred Cost ClaimOrlando, FL$114,700–$198,720 / yearPay Rate: The annual base salary range for this position in California, Massachusetts, and New York (excluding most major metropolitan areas), Colorado, Hawaii, Illinois, Maryland, Minnesota, New Jersey, Vermont, Washington or Washington DC is $99,700 - $175,835. You will be responsible for system design, development, configuration, spec generation, unit testing, and operational assessment readiness; scrum master tasks; and the following: Authoring functional specifications for enhancements, conversions, interfaces, reports, and custom transactions.
Auto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterFL$47,500–$69,800 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Detail-Oriented, Insurance Claims Investigations, Insurance Policies, Investigative Skills, Multitasking.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial Corp.Managing Director Strategic Claims Oversight - Healthcare SeverityLake Mary, FL$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
Automotive Claims Specialist TA ResourcesAutomotive Claims SpecialistDeerfield Beach, FloridaTechnology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims.
Manager, Claims Data Analytics GEICO GENERAL INSURANCE COMPANYManager, Claims Data AnalyticsLakeland, FLGEICO is looking for a highly motivated, innovative, and detailed leader to fill the role as a SIU Manager in enterprise fraud analytics who has a passion for managing individuals and building a best-in-class analytics and reporting suite. Must have the following education and experience: Must have 3+ years experience managing leadership associates while being responsible for the development, execution and outcomes of business plan initiatives.
Claims Director MegaCorp LogisticsClaims DirectorJacksonville, FloridaThis role provides strategic leadership for claims operations, team performance, process improvement, and complex claim resolution while partnering with internal and external stakeholders to minimize risk, maximize recovery opportunities, and ensure exceptional customer service. Develop and maintain claims reporting, dashboards, analytics, KPIs, and operational insights for leadership while identifying trends related to cargo loss, shortages, damages, carrier performance, customer disputes, documentation gaps, and claim outcomes.
Claims Director Megacorp Logistics LLCClaims DirectorJacksonville, FL$125,000–$150,000 / yearThis role provides strategic leadership for claims operations, team performance, process improvement, and complex claim resolution while partnering with internal and external stakeholders to minimize risk, maximize recovery opportunities, and ensure exceptional customer service. Develop and maintain claims reporting, dashboards, analytics, KPIs, and operational insights for leadership while identifying trends related to cargo loss, shortages, damages, carrier performance, customer disputes, documentation gaps, and claim outcomes.
["Revenue Cycle Analyst","Revenue Cycle Analyst"] Aya Healthcare["Revenue Cycle Analyst","Revenue Cycle Analyst"]RockledgeThe Epic Applications Analyst III drives performance improvement through data reporting, advanced configuration, and proactive system enhancements, ensuring reliable, secure, and user-friendly application functionality. The Epic Applications Analyst III provides advanced support in the design, implementation, optimization, and support of Epic Electronic Medical Record (EHR) system across the Health First Integrated Delivery Network (IDN).
NewAbility Analyst Paid Family Medical Leave The HartfordAbility Analyst Paid Family Medical LeaveLake Mary, FloridaThe Hartford will make a direct contribution of $125 per month – with a lifetime maximum up to $10,000 – as a supplemental payment towards your student loan in order to help you manage the stress of student debt and help you pay down your student loan faster. You will be responsible for managing a caseload of Paid Family and Medical Leave, Short Term Disability and Leave of Absence claims of high complexity, ensuring each claim is handled with empathy, accuracy, and efficiency.
NewSr Ability Analyst - Absence Management The Hartford Insurance Group IncSr Ability Analyst - Absence ManagementLake Mary, FL$48,071–$72,107 / yearThe Ability Analyst supports the organization's mission of helping customers rebuild their lives after an unexpected illness or event by delivering empathetic service, sound decision‑making, and consistent claim management throughout the short-term disability lifecycle. The Ability Analyst is responsible for investigating and managing short-term disability and absence claims to make timely, accurate, and customer‑focused benefit determinations across short‑term disability and absence management programs.
DRG Ops Analyst Zelis Healthcare, Inc.DRG Ops AnalystSt. Petersburg, FL$54,000–$68,400 / yearWhat you'll do: Managing the screening and distribution processes of Expert Claim Review Claims supporting the end-to-end workflow audit for Zelis Prepay and Post-pay Programs. Accountable for the deployment of resources for the management of daily claims screening, distribution, and referral processes, including ECR and ECR-EDI, DRG Validation and DRG Outlier pricing.
IBR Senior Analyst Zelis Healthcare, Inc.IBR Senior AnalystFL$79,000–$99,750 / yearThis is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.
Billing Financial Analyst, CBO Jackson Health SystemBilling Financial Analyst, CBOMiami, FLCBO Billing Financial Analyst performs various interviewing, fact collection and financial evaluation tasks in connection with credit and collection in a large and diversified hospital serving both non-indigent and indigent patients qualifying for various types of specialized assistance programs. Reviews claims for accuracy, performs required edits, and submits claims and rebills to payors daily in paper and/or electronic format to ensure accurate and timely filing of claims and prompt payment.
Revenue Analyst 2, Zero Balance Remote CorroHealth IncRevenue Analyst 2, Zero Balance RemoteFLRemoteIndependently, consider business needs and adjust workflow accordingly when reviewing and researching available accounts for potential payer underpayments to pursue. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Sr Test Analyst PBM Elevance HealthSr Test Analyst PBMMiami, FLIf this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteFLRemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Recovery Reimbursement Analyst Halifax HealthRecovery Reimbursement AnalystDaytona Beach, FLThe Recovery Reimbursement Analyst I is responsible for managing and resolving outstanding insurance claims, including denials, unadjudicated balances with no payer response and claims requiring technical appeal submissions for technical hospital claims. OTHER REQUIREMENTS & SPECIFICATIONS Completion of the assigned training modules Internal Candidates must be without infractions for twelve months Understands the LCDs and Rules and Regulations of CMS Basic Excel knowledge Basic analytical skills Ability to solve problems.
Senior Business Analyst Independent Living Systems LLCSenior Business AnalystMiami, FLAbout the Role: The Senior Business Analyst in Health Care Services plays a pivotal role in bridging the gap between clinical operations and technology solutions to enhance member care and organizational efficiency. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
OPS RECORDS ANALYST - 64858477 Government of FloridaOPS RECORDS ANALYST - 64858477MIAMI, FLThey will deal directly with claimants and claimant's representatives in routing calls to appropriate DDS staff, sending out correspondences by fax or mail and making outgoing calls to ask investigative questions, such as gathering work history and functional information. The State's total compensation package for employees features a highly competitive set of employee benefits including: State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options; Retirement plan options, including employer contributions.
NewOperations Analyst Psynergy HealthOperations AnalystOrlando, FL$60,000–$65,000In this on-site role, you will manage hospital and payer credentialing processes, support the onboarding and ongoing management of our clinician network, and serve as a key operational liaison between our clinical staff, hospital partners, and third-party billing partner. Your analytical mindset and process orientation will help ensure clinicians remain credentialed and compliant, operational workflows run smoothly, and cross-functional teams have the accurate data and support they need to deliver excellent patient care.
Business Analyst - Healthcare Gainwell Technologies LLCBusiness Analyst - HealthcareFLRemote$55,600–$79,400 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $55,600.00 - $79,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.