Top 33 Business analyst Jobs in Gainesville, Fl

EDI Business Analyst
Pediatrica Health Group —Florida
- $75,000 - $85,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
3d
ERP, Business Application Analyst I | Applications-Business
UF Health —Gainesville, FL
- Full-time
- Mid-level
- Master's degree
- Analysis skills
Systems Analyst
The Cardiac and Vascular Institute —Gainesville, FL
- Computer literacy
- HIPAA
- Mid-level
Quick Apply
Business Intelligence & Data Analyst
Clay Electric Cooperative —Keystone Heights, FL
- 8 hour shift
- Mid-level
- Driver's License
- US work authorization
- Opportunities for advancement
Business Services Administrative Coordinator
Gainesville Regional Utilities —Gainesville, FL
- $61,812.36 - $92,718.54 a year
- Customer service
- Research
- Office
Dir, Strategic Planning
UF Health —Gainesville, FL
- Full-time
- 5 years
- Bachelor's degree
- Mentoring
Area Field Manager
U-Haul —Gainesville, FL
- Full-time
- Clean driving record
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
BMT Data Management Analyst | Bone Marrow Operations
UF Health —Gainesville, FL
- Full-time
- Mid-level
- Master's degree
- Bachelor's degree
- Dental insurance
- Tuition reimbursement
2d
Civil & Infrastructure Construction SMEs
Infotech —Gainesville, FL
- Civil engineering
- Mid-level
- Contracts
Quick Apply
Store General Manager, Optical
West Point Optical LLC —Gainesville, FL
- $65,000 - $70,000 a year
- Full-time
- Merchandising
- Maintenance
- 3 years
Quick Apply
Branch Manager
Self-Help —Gainesville, FL
- $64,000 - $96,000 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
Pharmaceutical Detail Rep
Immune Biopharma —Gainesville, FL
- $89,418 - $119,218 a year
- Full-time
- Analysis skills
- Experience equivalent to degree accepted
- Communication skills
Quick Apply
Oncology Sales Specialist (Lung) - Tampa, Orlando N, Gainesville, FL - 3179385
IQVIA —Gainesville, FL
- $100,000 - $152,000 a year
- Weekends as needed
- Up to 50% travel
- Bachelor of Science
- Mid-level
Primary Care Pharma Sales Rep
Prism Biotech —Gainesville, FL
- $87,980 - $121,202 a year
- Full-time
- Primary Care
- Mid-level
- Analysis skills
Quick Apply
Director, Sales
Fire Neural Network (FNN) —Gainesville, FL
- Full-time
- Hybrid work
- CRM software
- Background check
- Marketing
- Health savings account
- Health insurance
Quick Apply
5d
Director Infrastructure Optimization & Technology Improvements
Washington Metropolitan Area Transit Authority —United States
- Full-time
- Writing skills
- Engineering
- Research
1d

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Business Analyst, onsite | 1062466
Revel IT —New Albany, OH
Document current-state and future-state business processes for FTZ and GTM capabilities. Facilitate workshops to define MVP, must-have, and future-state…
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10d
IT Business Analyst- Hybrid- Columbus, OH- Contract to Hire
Stafford Technology —Westerville, OH
Use AI tools to improve research, analysis, and documentation. Bachelor’s degree or equivalent experience; Agile certification preferred.
$32 - $35 an hour
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EDI Business Analyst

Pediatrica Health Group
Florida

Quick Apply

Job Details

Full-time
$75,000 - $85,000 a year
3 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
401(k) matching

Qualifications

Teamwork
Bachelor's degree
Requirements analysis
Health information management
Time management

Full Job Description

About Pediatrica Health Group Inc.

Every day is a good day to prepare for a healthy tomorrow. Providing children and their families with equitable access to quality pediatric care to build a foundation for a lifetime of optimal health and wellness is what drives our team to deliver its best every day. It’s our purpose.

Offering focused care from tots to teens, our pediatric primary care providers and teams partner with families to foster good health and strong, thriving communities. Second-to-none medical staff and top-tier administrative professionals keep our practices running smoothly and make each patient experience the best we can offer.

Working in partnership with patients, families, and communities who put their trust in us for their care, we hold ourselves accountable to ensure equitable access to care, advocate to create impactful change, and continually learn and progress to create better outcomes and brighter futures. Together, we’re paving the way for kids to develop into healthy young adults. Rooted in these values, we continue to grow and serve. Are you ready to join us?

POSITION SUMMARY:

The EDI Business Analyst Specialist designs, implements, supports, and validates practice and provider constructs within the clearinghouse. This position includes monitoring of data feeds and related loads to ensure systemic risks are identified and corrected across all Pediatrica Health Group practices.

Success in this position includes assisting in the growth and maintenance of our clearinghouse solutions by researching industry changes and data sets, analyzing data trends, identifying areas of opportunity, and aiding in the implementation of these enhancements. Ideal candidates have a naturally analytical way of thinking, can quantitatively and qualitatively analyze information, are process-oriented, and enjoy research and team collaboration.

Must be based in Florida with prior Medical Claims experience.

ESSENTIAL FUNCTIONS

Clearinghouse & EDI Operations

Design, implement, support, and validate practice and provider constructs within the clearinghouse.
Monitor data feeds and related loads; identify and correct systemic risks before they impact claims or revenue. Develop and maintain a professional relationship with the clearinghouse partner and their staff.
Research industry changes and data sets, analyze data trends, and support the implementation of clearinghouse enhancements.

Process Analysis & Optimization

Work closely with RCM leadership and staff to evaluate business processes, anticipate requirements, identify improvement opportunities, and develop and implement optimization strategies.
Stay current on the latest medical billing processes and guidelines to identify claim-editing, fee-schedule, and systemic changes for implementation.
Perform gap and issue analyses, root-cause assessments, and resolution planning.
Adapt policy-related documentation to requirements and conduct refinement analysis to ensure solutions meet business needs.

Collaboration & Communication

Conduct meetings and presentations to gather critical information, share ideas and findings, and effectively communicate insights and plans to cross-functional team members, with a focus on IT relationships.
Create detailed reports and present data to stakeholders; influence stakeholders and work closely with them to determine acceptable solutions.

Testing, Projects & Documentation

Perform system integration testing and user acceptance testing (UAT).
Assist with project management, including developing project plans and monitoring performance to ensure initiatives are prioritized based on business needs and requirements and that deliverables are on track for timely completion.
Update, implement, and maintain department procedures and documentation.

KNOWLEDGE, SKILLS & ABILITIES

Deep knowledge and understanding of professional claims processing and adjudication in the healthcare and health insurance industry.
Well-versed in revenue cycle management compliance, claim edits, rejections, and loop and segment errors.
Demonstrated knowledge of EDI document types, including 837, 277CA, 834, 835, TA1, 999, 820, and NCPDP D.0.
Superior analytical and conceptual thinking skills; strong technical skills.
Strong planning, organizational, and time-management skills.
Excellent verbal and written communication and documentation skills.
Advanced proficiency with Microsoft applications, including Word, Excel, and Outlook.
Familiarity with relational databases (SQL) preferred.
Maintains strict confidentiality and full HIPAA compliance.
Collaborative, dependable, and adaptable to changing priorities and workflows.

EDUCATION & EXPERIENCE

Bachelor’s degree in health information management, business, information systems, or a related field, or an equivalent combination of education and experience, preferred.
5+ years of experience as a business analyst or EDI analyst in a healthcare practice setting, preferred.
Experience with eClinicalWorks or a comparable practice management/EHR system, preferred.
Experience with pediatric or multi-specialty, multi-entity billing environments is a plus.

SUPERVISORY RESPONSIBILITIES

No direct supervisory responsibilities.

WORKING CONDITIONS

General office working conditions.

PHYSICAL DEMANDS

The physical demands described here are representative of those an associate must meet to perform the essential functions of this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing this job, the associate may need to stand, walk, sit, handle objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. The associate must occasionally lift or move up to fifteen pounds. Required vision abilities include close, distance, and peripheral vision; depth perception; and the ability to adjust focus. Occasional travel may be required. Manual dexterity is required to operate desktop computers or laptops. The employee may be exposed to varying weather conditions.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an associate must meet to perform the essential functions of the job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

TRAVEL

Minimal travel may be required for training, meetings with the clearinghouse partner, or visits to PHG practice locations.

SAFETY HAZARDS OF THE JOB

Minimal Hazards

Pay: $75,000.00 - $85,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

business analyst jobs in gainesville, fl

EDI Business Analyst

ERP, Business Application Analyst I | Applications-Business

Systems Analyst

Business Intelligence & Data Analyst

Business Services Administrative Coordinator

Dir, Strategic Planning

Area Field Manager

BMT Data Management Analyst | Bone Marrow Operations

Civil & Infrastructure Construction SMEs

Store General Manager, Optical

Branch Manager

Pharmaceutical Detail Rep

Oncology Sales Specialist (Lung) - Tampa, Orlando N, Gainesville, FL - 3179385

Primary Care Pharma Sales Rep

Director, Sales

Director Infrastructure Optimization & Technology Improvements

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