UNKNOWN

ADAPTED_NOW

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Ideal candidates combine deep Guidewire expertise, strong business analysis skills, production support experience, and the ability to bridge the gap between business and technology teams .

Vaco provides expert consulting, permanent placement, executive search and strategic stafﬁng for companies around the world, in the areas of accounting, ﬁnance, technology, healthcare, operations, administration and more. As a premier talent solutions ﬁrm, Vaco connects people to their dream jobs and helps leading companies ﬁnd talent to grow their business. Since its founding in 2002, Vaco has grown to more than 35 ofﬁces across the globe, 700+ employees, more than 3,000 consultants and $450M in revenue. Vaco has been named to Inc. magazine’s list of the fastest-growing private companies for past 11 years and is dedicated to developing long-term relationships, life-long careers and creative client solutions.

Vaco LLC

Guidewire BA II/III - Policy Center, Billing Center, Claims Center

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. A growing healthcare technology organization is seeking a Clinical Policy Development Analyst to support the development of evidence-based clinical policies that guide coverage and reimbursement decisions across a large payer network.

Clinical Policy Development Analyst

Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. The analyst will ensure timely issuance, risk mitigation, cost control, and full compliance for all bilateral off-balance sheet credit instruments supporting large-scale commercial contracts, project finance, and regulatory requirements.

Lennar Corporation

Treasury Analyst

FEED

Under the direct supervision of the Manager of Revenue Cycle Operations, the Contractual Claims Analyst is responsible for the day-to-day review, analysis, and resolution of assigned medical claims, with primary emphasis on contractual reimbursement accuracy, underpayments, payment variances, and payer compliance with negotiated reimbursement terms . Proactively review, research, and resolve assigned accounts involving contractual underpayments, payment variances, incorrect contractual adjustments, and other payer reimbursement discrepancies .

Health Business Solutions LLC

CLAIMS ANALYST - CONTRACTUAL

HiringThing

FULL_TIME

As Paychex and Paycor come together, we're combining innovative technology, data-driven insights, AI, and human expertise to help organizations work smarter, support their people, and achieve better business outcomes. About Us: Paychex is reimagining how businesses manage their workforce by bringing payroll, HR, benefits, and advisory services together into a single connected HCM platform.

HOUR

Paychex

Litigation and Claims Analyst

[AW]-iCims

Investigate and resolve temperature-controlled freight claims involving reefer temperature deviations, pulp readings, transit delays, shelf-life deterioration, and USDA inspection results, applying PACA guidelines and the Carmack Amendment. Oversee operational risk workflows for rejected, stranded, or high-risk perishable loads, coordinating real-time reefer temperature deviation reviews, offsite restacks, and carrier holds or decertifications to prevent financial loss.

Arrive Logistics

Arrive Fresh Claims Analyst

ea_via_bold

Lennar Homes

An ideal candidate will have the ability to manage and execute the coordination of multiple projects within required timeframes and expectations; demonstrated excellence in communication skills; be able to inform both orally and in writing; working knowledge of Microsoft Office products. Demonstrate the ability to perform detail-oriented tasks; interact, coordinate, follow up, and effectively communicate with WC team members, regional teams, Senior Management, and Third-Party Administrators.

PEOPLEASE, LLC

Workers' Compensation Claims Analyst

Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members. Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Medical Claims Analyst

linkup_via_bold

The 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.

Expert In Recruitment Solutions

Epic Certified Applications Analyst III Claims

jobdiva

This role reviews professional and facility claims, identifies payment discrepancies, evaluates claims against benefits, contracts, reimbursement methodologies, and applicable policies, and works with internal teams to resolve issues and improve claims processing. In this role, you'll use your claims expertise and analytical skills to protect payment accuracy, identify opportunities for improvement, and help strengthen the processes that support our members and providers.

South Florida Community Care Network

Claims Analyst

This 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.

ClinDCast LLC

Epic HB Claims Analyst

As 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.

ClinDCast

sourcestack_via_bold

Health Business Solutions

Claims Analyst - Contractual

You'll help keep the Risk Management department running smoothly by supporting claims investigations, coordinating insurance renewals, maintaining accurate records, and providing essential administrative support to the Director of Risk Management. We're looking for a Claims Analyst / Department Administrator who brings strong organizational skills, attention to detail, and a proactive approach to supporting claims, insurance administration, and day-to-day Risk Management operations.

Vacatia, Inc

Claims Analyst/Department Administrator

Duties 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.

YEAR

Government of Florida

VICTIM COMPENSATION CLAIMS ANALYST - 41000609

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. The Claims & Billing Analyst collaborates closely with healthcare providers and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.

Independent Living Systems LLC

Claims & Billing Analyst

Responsibilities can include, but are not limited to, developing and maintaining recurring and ad hoc reports, analyzing operational and claims data, supporting billing oversight activities, and assisting with operational workflows related to claims administration and vendor management. Additional responsibilities may include supporting servicer maintenance and compliance tracking efforts, monitoring operational performance metrics, validating data integrity, and contributing to continuous improvement initiatives that enhance operational effectiveness and scalability.

The Fortegra Group Inc

Claims Operations Analyst

Investigate review and document significant events and escalate to appropriate leadership, insurance companies and compliance; ensure potential financial impact to RXO is identified and documented. As an Analyst, Claims at RXO, you’ll manage incidents and claims on behalf of all business entities, working customers, operations, carriers, and insurance companies.

Analyst, Claims

PART_TIME

Supporting workforce management activities, including staffing analysis, capacity planning, workload forecasting, real time management, schedule adjustments and evaluating resource alignment against current and projected business demands. Experience with contact center workforce management, including workload forecasting, scheduling, staffing analysis, capacity planning, and real-time management, with familiarity in metrics such as service level, AHT, adherence, shrinkage, and occupancy.

Claims Analyst Jobs in Florida

Guidewire BA II/III - Policy Center, Billing Center, Claims Center Vaco LLC

Clinical Policy Development Analyst Vaco LLC

Treasury Analyst Lennar Corporation

CLAIMS ANALYST - CONTRACTUAL Health Business Solutions LLC

Litigation and Claims Analyst Paychex

Arrive Fresh Claims Analyst Arrive Logistics

Treasury Analyst Lennar Homes

Workers' Compensation Claims Analyst PEOPLEASE, LLC

Medical Claims Analyst CVS Health Corp

Epic Certified Applications Analyst III Claims Expert In Recruitment Solutions

Claims Analyst South Florida Community Care Network

Epic HB Claims Analyst ClinDCast LLC

Epic HB Claims Analyst ClinDCast

Claims Analyst - Contractual Health Business Solutions

Claims Analyst/Department Administrator Vacatia, Inc

VICTIM COMPENSATION CLAIMS ANALYST - 41000609 Government of Florida

Claims & Billing Analyst Independent Living Systems LLC

Claims Operations Analyst The Fortegra Group Inc

Analyst, Claims RXO

Claims Operations Analyst LotSolutions, Inc.

Similar Job Searches

Stand out to leading employers.