Healthcare Claim Analyst Jobs in Tampa

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

Description The Senior Claims Process & Policy Professional processes new insurance policies, modifications to existing policies, and claims forms. The Senior Claims Process & Policy Professional work assignments involve moderately complex ..

Description The Mail Operations Pharmacy Technician 2 accurately fills and counts medications. The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works ..

... Humana Lead Product Manager - Healthcare API in Tampa Florida Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Job Information Humana Senior Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in Tampa Florida Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Number: 493263 Work type: Full Time Permanent Location: Sydney (CBD) Categories: Analysis On-going role, hybrid. Can be based in Melbourne or Sydney Use your business insights and data analysis skills ..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Company Summary Taking care of our customers, our communities and ..

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The Failed Claims Pharmacy Technician 2 ensures ..

Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. ..

Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..

Job Description The Public & Labor Onsite Representative supports client retention by providing issue resolution and information to existing accounts throughout the life of the account. Works independently to solve problems ..

Job Number: 493188 Work type: Full Time Permanent Location: Sydney (CBD) Categories: Analysis, Product & Underwriting What you could be doing This is a newly created role where you can play ..

... aspects related to reviewing pharmacy claim submissions for accuracy and appropriateness. ... tone and standard for pharmacy claim review. The Pharmacy Claims Professional ... pharmacies, make determination of appropriate..

Job Information Humana Pharmacy Claims Specialist, Remote in Tampa Florida Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..

Job Information Humana Senior Financial Analyst - Remote in Tampa Florida ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The Mail Operations Pharmacy Technician 2 ensures ..

Description The Project Manager II manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager II work assignments ..

Job Information Humana Senior Financial Analyst - Remote Nationwide in Tampa ... Florida Description The Senior Financial Analyst for Humana's Direct Contracting Entity, ... operational effectiveness. The Senior Financial Analyst..