Top 459 Business analyst Jobs in Miami, Fl

EDI Business Analyst
Pediatrica Health Group —Miami, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
8d
Senior Business Analyst
Brooksource —Miramar, FL
- $50 - $55 an hour
- Contract
- Hybrid work
- Azure
- 5 years
- SQL
- Health savings account
- Paid holidays
Quick Apply
Senior Business Systems Analyst - Epic Radiant, Technology and Digital, FT,08:30A-5P
Baptist Health South Florida —Coral Gables, FL
- $85,901.44 - $111,671.87 a year
- Full-time
- Computer science
- Computer Science
- Research
- Wellness program
- Health insurance
Senior Business Systems Analyst - Epic Radiant, Technology and Digital, FT,08A-4:30P
Baptist Health South Florida —Coral Gables, FL
- $85,901.44 - $111,671.87 a year
- Full-time
- Computer science
- Computer Science
- Research
- Wellness program
- Health insurance
Senior Business Systems Analyst - Epic Hospital Billing, Onsite, Technology & Digital,FT
Baptist Health South Florida —Coral Gables, FL
- $85,901.44 - $111,671.87 a year
- Full-time
- Computer science
- Computer Science
- System design
- Wellness program
- Health insurance
Senior Business Analyst
Ascendo Resources —Miami, FL
- $41 - $44 an hour
- Full-time
- Hybrid work
- Computer Science
- Office
- Finance
Quick Apply
6d
Business Analyst
Seminole Hard Rock Hotel & Casino Hollywood —Hollywood, FL
- Weekends as needed
- Background check
- Microsoft Excel
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Analyst, Business - SQL (Remote in Florida)
Molina Healthcare —Miami, FL
- $49,930 - $97,363 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- SQL
- Health insurance
Business Analyst
Contact Government Services, LLC —Miami, FL
- $60,000 - $110,000 a year
- Full-time
- Hybrid work
- 7 years
- Computer Science
- Research
- Health insurance
- Dental insurance
Quick Apply
Business Systems Analyst 1
University of Miami —Coral Gables, FL
- Full-time
- Hybrid work
- Office
- University
- Bachelor's degree
Lead Business Systems Analyst - Epic Beaker, Technology & Digital, FT,8A-4:30P
Baptist Health South Florida —Coral Gables, FL
- $96,682.12 - $125,686.76 a year
- Full-time
- Computer science
- Computer Science
- HIPAA
- Wellness program
- Health insurance
Senior Business Systems Analyst - Epic ClinDoc, Technology & Digital, FT,8:30A - 5P
Baptist Health South Florida —Coral Gables, FL
- $85,901.44 - $111,671.87 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- 5 years
- Wellness program
- Health insurance
Business Outcome Analyst
Atlas Air —Miami, FL
- $86,000 - $117,000 a year
- Hybrid work
- Research
- Mid-level
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Business Outcome Analyst
Atlas Air —Miami, FL
- $86,000 - $117,000 a year
- Research
- Mid-level
- Experience equivalent to degree accepted
Business Systems Analyst 1 - Miami FL - Project Management Office
University of Miami —Miami, FL
- Full-time
- System design
- Mid-level
- Office
- Health insurance
- Dental insurance
Business Systems Analyst 3 (A)
University of Miami —Coral Gables, FL
- Full-time
- Hybrid work
- 5 years
- Mid-level
- University
Business Analyst
PROTOCOL INFOTECH —Doral, FL
- Full-time
- Computer Science
- Engineering
- Mid-level
- Referral program
Construction Business Operations Analyst, Construction Management
Baptist Health South Florida —Miami, FL
- $58,494.88 - $76,043.34 a year
- 5 years
- Mid-level
- Finance
- Wellness program
- Health insurance
Business Process & Operations Analyst 1 (H)
University of Miami —Miami, FL
- Full-time
- Hybrid work
- Research
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
IT Systems Business Analyst
Miami, FL —Miami, FL
- Spanish
- Microsoft Outlook
- Mid-level
- Health savings account
- Health insurance
Quick Apply

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EDI Business Analyst

Pediatrica Health Group
Miami, FL

Quick Apply

Job Details

Full-time
8 days ago

Qualifications

X12 EDI
Computer operation
Systems integration
Microsoft Excel
HIPAA compliance
Microsoft Outlook
Defect resolution root cause analysis
Medical claims processing
EDI
Requirements design
Management Information Systems
Health information process improvement
Process optimization
Technical documentation
Defect analysis
Presentations for conferences or internal meetings
Bachelor's degree in business
Practice management software
Process design
HIPAA
Patient management software
Gap analysis
Information Systems
Mid-level
Data summary reports
SQL
Analysis skills
Bachelor's degree
Health insurance knowledge
Task prioritization

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.

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

Quick Apply

Refine Your Search

business analyst jobs in miami, fl

EDI Business Analyst

Senior Business Analyst

Senior Business Systems Analyst - Epic Radiant, Technology and Digital, FT,08:30A-5P

Senior Business Systems Analyst - Epic Radiant, Technology and Digital, FT,08A-4:30P

Senior Business Systems Analyst - Epic Hospital Billing, Onsite, Technology & Digital,FT

Senior Business Analyst

Business Analyst

Analyst, Business - SQL (Remote in Florida)

Business Analyst

Business Systems Analyst 1

Lead Business Systems Analyst - Epic Beaker, Technology & Digital, FT,8A-4:30P

Senior Business Systems Analyst - Epic ClinDoc, Technology & Digital, FT,8:30A - 5P

Business Outcome Analyst

Business Outcome Analyst

Business Systems Analyst 1 - Miami FL - Project Management Office

Business Systems Analyst 3 (A)

Business Analyst

Construction Business Operations Analyst, Construction Management

Business Process & Operations Analyst 1 (H)

IT Systems Business Analyst

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