Epic Certified Hospital Billing Claims Analyst 5944595 Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595Miami, FLIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Professional Billing Claims Analyst 5944596 Accenture PlcEpic Certified Professional Billing Claims Analyst 5944596Miami, FLIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
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.
Commercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, FLRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - 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 {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Senior Analyst, Claims Research Molina Healthcare IncSenior Analyst, Claims ResearchFLLeverages deep understanding of medical claims processing, analytical skills, root-cause analysis, and regulatory interpretation to effectively triage issues to facilitate complex/high priority claims investigation or correction. Collaborates with cross-functional teams on claims-related projects; completes tasks within designated/accelerated timelines to minimize provider/member impacts and maintain compliance.
Sr Business Insights Analyst (Property Claims) Assurant IncSr Business Insights Analyst (Property Claims)Miami, FL$74,600–$124,700 / yearA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Acts as the customer / IT liaison during analysis, requirements definition and design activities; develop and maintain an understanding of the business, business strategies and roadmap; collaborates with business stakeholders to define and document business requirements and with technical staff to develop solution alternatives.
Analyst, Claims Research Molina Healthcare IncAnalyst, Claims ResearchFLp>Provides 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.
Supervisor, Claims Shared Services South Florida Community Care NetworkSupervisor, Claims Shared ServicesSunrise, FLProvide training, coaching, and ongoing support to mailroom and claims analysts, Claims Examiner III ensuring they have the necessary skills and knowledge to perform their roles effectively. Position Summary: As the Claims Shared Services Supervisor, you will oversee the daily operations of the mailroom and supervise a team of medical Claims Analysts and the Claims Training and Quality Analyst.
EPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Professional Billing Admin and Professional 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.
Insurance Claims Business Analyst Deloitte Touche Tohmatsu LtdInsurance Claims Business AnalystFL$128,000–$252,500 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
PIP/Med Pay Claims Associate Allstate Insurance CompanyPIP/Med Pay Claims AssociateFL$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. National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.
NewSenior Director, Insurance Claims Advisory NTT DATA Group CorpSenior Director, Insurance Claims AdvisoryFL$160,000–$296,000 / yearli>Ecosystem & 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).
Auto Telephone Claims Adjuster Allstate Insurance CompanyAuto Telephone Claims AdjusterFL$47,500–$61,600 / 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.
Senior Analyst Claim Reporting and Special Services CVS Health CorpSenior Analyst Claim Reporting and Special ServicesFL$46,988–$112,200 / yearp>Position Summary: We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
Private Client Claims Advocacy Leader Marsh & McLennan Companies IncPrivate Client Claims Advocacy LeaderFL$125,000–$233,000 / yearli>Frequently communicate key client and Family Office matters/concerns, team updates, market developments and claims trends with PCS field leadership teams (Zone Leaders and Zone Client Advisor Leaders) as well as MMA regions. Directs and interfaces with PCS Operations and EPIC Transformation teams to design and implement contemporary claims technologies, including claims 'use cases' for Risk Services and Solutions data platform.
Medical Claim Coding Talent Pipeline Unified Women's Healthcare LLCMedical Claim Coding Talent PipelineFLThrough 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women's health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality.
Ability Analyst Paid Family Medical Leave The Hartford Insurance Group IncAbility Analyst Paid Family Medical LeaveSunrise, FL$46,222–$52,900 / yearActual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. Candidates who do not live near an office should maintain their current work arrangement, with the expectation of coming into the office as business needs arise.
Clinical Denial Analyst Larkin Community Hospital IncClinical Denial AnalystSouth Miami, FLInitiates a root cause analysis of denied payment through comprehensive means including but not limited to: research of patient stays and treatment, review of payer contracts, analysis of historical denials, appeals, and their outcomes, emerging trends in payer practices and requirements. Our network of acute care hospitals provides a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteFLRemote$110,700–$123,000 / yearp>Alabama - 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).
Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystMiami, FLRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).
Risk Management Analyst VITAS Healthcare CorpRisk Management AnalystMiramar, FLManage the global risk financing and risk transfer program for all lines of corporate insurance (Property, Casualty, Executive Risk, Cyber, etc.), including assessment of risk, preparation of underwriting submissions, evaluation of coverage terms, and ongoing administration. Claims handling experience in an insurance workers' compensation claim operation and risk management department, with knowledge of workers' compensation statutes and medical management of claims.
NewSr. Business Analyst-Merger/Transformation/Integration LTM LtdSr. Business Analyst-Merger/Transformation/IntegrationMiami, FL$115,000–$120,000 / yearTogether with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it. Recruitment Fraud Alert - https://www.ltimindtree.com/recruitment-fraud-alert/.
HCS Operations Inventory & Quality Analyst (Eligibility) PerformantHCS Operations Inventory & Quality Analyst (Eligibility)Plantation, FloridaRemoteli>Minimum 1 year of relevant experience in role(s) with responsibility for applying subject matter expertise to operations workflow, contributing to the set-up of new clients or programs, projects, quality/auditing, direct or indirect staff oversight or training, etc. and contributing to the development of infrastructure and continuous improvement for department output. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.
Ability Analyst The Hartford Insurance Group IncAbility AnalystSunrise, FL$46,222–$69,333 / yearli>For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Wi-Fi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 10Mbps/75Mbps will be required. Click on this link to learn more about our comprehensive benefits package and award-winning well-being program: https://www.thehartford.com/careers/benefits.
Business Analyst III / Sr Test Analyst Elevance Health IncBusiness Analyst III / Sr Test AnalystMiami, FL$73,600–$132,480 / yearPreferred Skills, Capabilities and Experiences: Minimum 5 years of testing experience in the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy including claims processing, enrollment, and benefit administration is preferred. Conduct defect triage meetings, Defects retest and closure, Report test execution metrics to assigned test lead/ project manager daily/weekly.
Fraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystFL$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
Senior Forensic Analyst American International Group Inc (AIG)Senior Forensic AnalystMiami, FL$84,000–$107,000 / yearHow you will create an impact: Utilize accounting principles and techniques to obtain, interpret, record, and analyze a variety of data from all business types to assist in the quantification and the measurement of commercial business insurance claims. Strong analytical tools and a candidate that can assist in presenting conclusions in precise, accurate, and usable forms to allow decision makers to make informed decisions.
Leave Management Ability Analyst - Hybrid The Hartford Insurance Group IncLeave Management Ability Analyst - HybridSunrise, FLRemote$46,222–$69,333 / yearCandidates near office locations (Hartford, CT; San Antonio, TX; Lake Mary, FL; Sunrise, FL; Scottsdale, AZ; Alpharetta, GA; Naperville, IL) are expected to work onsite Tuesday-Thursday. The Leave Management Analyst primarily investigates claims to determine if the insured person qualifies for benefits and works with them on a plan to return to work as soon as responsibly possible.
Provider Relations Senior Analyst, Americas - Cigna International Health - Remote The Cigna GroupProvider Relations Senior Analyst, Americas - Cigna International Health - RemoteFLRemote$58,100–$96,900 / yearli>Conduct all aspects of health care professional education for existing and newly contracted health care professionals as pertinent in the region to remove potential roadblocks preventing a successful partnership, including but not limited to: 1) Overview of member identification and eligibility process, 2) Claims submission, 3) Cigna operating model, and 4) Training and onboarding providers into the new provider portal. Strive for continuous service improvement via analyzes of root causes and proactive implementation of initiatives driven by outcome obtained through data and feedback gathered through reconciliation results, complaints, or other sources, and continuous service delivery improvement through BAU collaboration with different teams.
Case Review Analyst ICBD HoldingsCase Review AnalystLauderdale Lakes, FloridaWith firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties. Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services.
Senior Benefits Analyst Resorts World NYCSenior Benefits AnalystMiami, FloridaRemotep>Overview: We are seeking a Senior Benefits Analys to support the day-to-day operations, reporting, audit oversight, and compliance execution of our health and welfare benefits programs across a multi-state and international workforce (Bahamas). · Due to the unpredictable nature of the hospitality/entertainment industry, Team Members must be able to work a varying schedule if required to meet the business needs of the property.
Senior Benefits Analyst Hilton Miami DowntownSenior Benefits AnalystMiami, FloridaRemotep>Overview: We are seeking a Senior Benefits Analys to support the day-to-day operations, reporting, audit oversight, and compliance execution of our health and welfare benefits programs across a multi-state and international workforce (Bahamas). · Due to the unpredictable nature of the hospitality/entertainment industry, Team Members must be able to work a varying schedule if required to meet the business needs of the property.
Project Controls Analyst MasTec IncProject Controls AnalystMIAMI, FloridaIf you suspect you are the target of a scam, we advise you to contact your local law enforcement agency and report fraud at https://reportfraud.ftc.gov/.. Founded in 1987, MasTec Civil (formerly known as Condotte America), a MasTec Company, is a heavy highway contractor specializing in the construction of complex transportation projects that include roadway, bridges, interchanges, mass transit, and tolling facilities.
Value Based Care Analyst South Florida Community Care NetworkValue Based Care AnalystSunrise, FLp>Position Summary: The Value-Based Performance Analyst supports the Medical Economics department through data analysis and performance reporting focused on provider performance, population risk trends, and value-based program outcomes across Community Care Plan products, including Medicaid and Marketplace. The position collaborates with internal analytics, clinical, and provider relations teams to translate complex healthcare data into actionable insights that support organizational decision-making and provider performance improvement.
Actuarial Analyst II Elevance Health IncActuarial Analyst IIMiami, FLMinimum Requirements: Requires a BA/BS degree and to have passed a minimum of three Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) actuarial exams and a minimum of 1 year related experience; or any combination of education and experience, which would provide an equivalent background. 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.
Healthcare Reclamation Analyst Performant Healthcare IncHealthcare Reclamation AnalystPlantation, FLRemote$20–$26 / hourCompletion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.
HCS Operations Inventory & Quality Analyst (Eligibility) Performant Healthcare IncHCS Operations Inventory & Quality Analyst (Eligibility)Plantation, FLRemoteMinimum 1 year of relevant experience in role(s) with responsibility for applying subject matter expertise to operations workflow, contributing to the set-up of new clients or programs, projects, quality/auditing, direct or indirect staff oversight or training, etc. and contributing to the development of infrastructure and continuous improvement for department output. • Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.
Senior Business Analyst, Jackson Memorial Hospital, Finance, Days Jackson Health SystemSenior Business Analyst, Jackson Memorial Hospital, Finance, DaysMiami, FLDevelops program feasibility/opportunity assessments, pre-contract feasibility/opportunity assessments, and works with contracting staff to develop performance metrics and definitions for contracts; measures performance of programs against contractual metrics. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world''s most skilled and highly regarded multidisciplinary team of healthcare professionals.
Employee Benefits Analyst Brown & Brown IncEmployee Benefits AnalystDoral, FLThe Employee Benefit Analyst's primary responsibility is to analyze information to create financial deliverables for current and prospective Brown & Brown clients, particularly for large group fully-insured clients as well as those with self-funded benefit programs. Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role.
NewSenior Analyst, Human Resources Operations H.I.G. CapitalSenior Analyst, Human Resources OperationsCoral Gables, FloridaRemoteH.I.G. is based in Miami, with offices in Atlanta, Boston, Chicago, Los Angeles, New York, and San Francisco, and affiliate offices in Hamburg, London, Luxembourg, Madrid, Milan, and Paris in Europe as well as Bogotá, Rio de Janeiro, and São Paulo in Latin America, Dubai in the Middle East, and Hong Kong in Asia. We focus on providing capital to businesses with attractive growth potential and align ourselves with committed management teams and entrepreneurs to help grow businesses of significant value.
Analyst, Quality Audit Control II CVS Health CorpAnalyst, Quality Audit Control IIFL$21.10–$49.08 / hourPerforms quality audits for service operations for multiple products and platforms and is the official source for Customer/Plan Sponsor performance guarantee reporting, SOX and SOC1, Internal Audit/Compliance controls and the official source for Service Level Agreements ( SLA for Vendor) and Book of Business reporting. 1 plus year(s) Medicare or Medicaid High Dollar Claim Processing and/ or Medicare or Medicaid High Dollar Claim Auditing Experience.
Case Review Analyst ICBDCase Review AnalystLauderdale Lakes, FL$55,000–$70,000With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties. Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services.
Dental Network Relations, Senior Analyst CVS Health CorpDental Network Relations, Senior AnalystFL$46,988–$112,200 / yearTimely response to correspondence from Provider offices, included, but not limited to termination requests, tax id changes, hold requests, claim reimbursement, system, directory accuracy and various contractual issues. Act as a primary resource for all dental products ( PPO, Medicare) for providers, sales and marketing, and Dental Service Centers to aid in the achievement of Aetna Key Performance Measures.
Project Controls Analyst MasTec CivilProject Controls AnalystMIAMI, FloridaIf you suspect you are the target of a scam, we advise you to contact your local law enforcement agency and report fraud at https://reportfraud.ftc.gov/.. Founded in 1987, MasTec Civil (formerly known as Condotte America), a MasTec Company, is a heavy highway contractor specializing in the construction of complex transportation projects that include roadway, bridges, interchanges, mass transit, and tolling facilities.
NewSystems Analyst Advisor Elevance HealthSystems Analyst AdvisorMiami, FL$101,120–$151,680 / yearstrong>Minimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 6 years’ experience in a variety of technologies, documenting requirements and/or building test cases; or any combination of education and experience, which would provide an equivalent background. 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.
NewSystems Analyst Senior Elevance HealthSystems Analyst SeniorMiami, FL$83,440–$125,160 / yearstrong>Minimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 3 years’ experience with documenting requirements and/or building test cases for a variety of technologies; or any combination of education and experience, which would provide an equivalent background. 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.
Business Solutions Analyst III - Remote CSAA Insurance GroupBusiness Solutions Analyst III - RemoteFLRemote$89,865–$99,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, California - 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 {+ 21 more}. Plans, manages and may complete testing of application, system and/or process changes/upgrades at key phases of development, including writing test plans, developing test cases with expected results, and scheduling tests in concert with testing leads in IT.
Epic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full Time SolutionHealthEpic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - 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.
Regulatory Analyst 1 University of MiamiRegulatory Analyst 1Miami, FLp>Bachelor's Degree in relevant field Minimum 1 year of relevant experience Ability to maintain effective interpersonal relationships Ability to communicate effectively in both oral and written form Skill in collecting, organizing and analyzing data Proficiency in computer software (i.e. Microsoft Office) Knowledge of relevant federal, state, and local regulations Knowledge of procedures associated with clinical trials Any appropriate combination of relevant education, experience and/or certifications may be considered. These centralized services include assistance with protocol development, regulatory affairs expertise, IND submission, study budgeting, contract negotiation, coordination of research nursing, data management, and safety reporting for all types of studies, including therapeutic, non-therapeutic, prevention and screening trials.
NewAnalyst, Health Plan Risk & Quality Reporting (Remote in FL) Molina Healthcare IncAnalyst, Health Plan Risk & Quality Reporting (Remote in FL)Miami, FLRemoteli>Analyzes data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks Structured Query Language (SQL), PowerBi, Microsoft Excel, and techniques to determine significance and relevance. At least 2 years of experience mapping, scrubbing, scrapping, and cleaning data, and analysis experience related to HEDIS and/or risk adjustment, and 1 year of experience in a managed care organization, or equivalent combination of relevant education and experience.