Top 206 Sr. analyst, fraud & payment analytics Jobs in Miami Fl

Senior Health Economics Analyst
ChenMed —Miami, FL
- $76,732 - $109,617 a year
- Full-time
- Microsoft Word
- English
- Office
- Opportunities for advancement
Sr Plan Forecast Budget Analyst, Finance FP&A, FT,08A-4:30P
Baptist Health South Florida —Florida
- $78,611.15 - $102,194.50 a year
- Full-time
- Office
- Finance
- Bachelor's degree
- Wellness program
- Health insurance
Senior Analyst
CFS —Miami, FL
- $80,000 - $100,000 a year
- Mid-level
- Office
- Finance
6d
SR. ERP Business Intelligence Analyst-IT-FT-BHC
Broward Health —Fort Lauderdale, FL
- Full-time
- Bachelor's degree
- Military encouraged
- Training & development
Sr. Analyst, Fraud & Payment Analytics
Subway —Miami, FL
- Full-time
- Mid-level
- Finance
- Analysis skills
- 401(k)
- Tuition reimbursement
2d
Senior Management and Budget Analyst
City of Miami Beach, FL —Miami, FL
- $7,734.16 - $12,904.08 a month
- Multiple hires
- Research
- Office
- Administrative experience
8h
Analyst Sr., Booked Guest Ecommerce
Carnival Cruise Line —Miami, FL
- Full-time
- Computer Science
- 5 years
- Office
- Employee stock purchase plan
- Paid holidays
Senior Analyst, Business Insights & Analytics
Fresh Del Monte Produce Company —Coral Gables, FL
- Full-time
- Finance
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
Quick Apply
6h
Sr. Analyst, Web Tagging & Analytics
AutoNation —Fort Lauderdale, FL
- Full-time
- Computer Science
- Marketing
- 5 years
- Dental insurance
- Vision insurance
Quick Apply
Analyst Sr., Operational Performance & Analytics
Carnival Corporation —Miami, FL
- Full-time
- Hybrid work
- Office
- Finance
- High school diploma or GED
- Employee stock purchase plan
- Paid holidays
Sr. Benefits Analyst
University of Miami —Coral Gables, FL
- Full-time
- Hybrid work
- Research
- Mid-level
- University
- 401(k)
Sr. Research Accounting Analyst
University of Miami —Coral Gables, FL
- Full-time
- Hybrid work
- 5 years
- Research
- Office
6d
Senior Analyst, Financial Data Analytics & Visualization
Royal Caribbean Group —Miami, FL
- Full-time
- CPA
- Bachelor of Science
- Mid-level
Sr Financial Analyst
FedEx —Miami, FL
- Full-time
- Mid-level
- Analysis skills
- 4 years
Senior Analyst, Commercial Strategy and Analytics
Industrious —Miami, FL
- $90,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
- Paid parental leave
- Health insurance
Quick Apply
Senior Analyst Strategy & Analytics
VITAS Healthcare —Miami, FL
- Full-time
- Mid-level
- SQL
- Analysis skills
- Health insurance
Quick Apply
Analyst, Sr. CAM Finance
Royal Caribbean Group —Miami, FL
- Full-time
- Oracle
- CPA
- Mid-level
10d
Senior IT Pharmacy Systems Analyst-IT-FT-BHC
Broward Health —Fort Lauderdale, FL
- Full-time
- Bachelor's degree
- Military encouraged
- IT
Sr. Financial Analyst, FP&A
Carnival Corporation —Miami, FL
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Employee stock purchase plan
- Paid holidays
Sr. Bioinformatics Analyst
University of Miami —Miami, FL
- Full-time
- Mid-level
- 3 years
- Databases
- Health insurance
- Dental insurance

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Senior Health Economics Analyst

ChenMed -
Miami, FL

Apply Now

Job Details

Full-time | Contract
$76,732 - $109,617 a year

Benefits

Opportunities for advancement

Qualifications

Microsoft Word
Cost management
Business financial process improvement
Cost accounting analysis
Master's degree in business administration
Economics
Data visualization software proficiency
Financial model construction
Medicare
Presentation software
Business strategy analysis
Managed care organization experience
Bachelor's degree in finance
Identifying new business opportunities
Presentations for conferences or internal meetings
QlikView
Business intelligence report generation
Employee relationship building
English
Bachelor's degree in economics
ROI
Finance
SQL
ICD-10
HCPCS
Analysis skills
Bachelor's degree
Continuous improvement
Medical billing data analysis
Industry trends

Full Job Description

We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support to executive leadership of ChenMed. Success in the role will be achieved through the ability to leverage data and analytic skills to create business intelligence—identifying risks to be mitigated or opportunities to be seized. The incumbent serves as the primary medical cost analytics consultant to our Finance, Clinical, Operations, and Specialty Care leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the opportunity for impact and advancement within the Finance organization and the broader enterprise.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business problems and continuously improve data-driven strategies and processes to improve financial results.
Partners with finance and business leaders to create benchmarks to monitor medical cost trends and variances. Assists in the design and evaluation of company KPIs for potential replacement or evolution as the company grows.
Prepares and analyze medical cost and leading indicator data to develop presentations for executive management. Interpret results and articulate actionable recommendations that maximize profitability and ensure financial targets are achieved.
Tracks performance of medical cost Key Performance Indicators (KPIs) for assigned Divisions/Departments.
Leverages data analytics and modeling to test, validate and track return of investment of existing and proposed medical cost strategies and initiatives.
Works with Analytics and IT teams to validate data, enhance medical cost reports and tools, and help design new products for enterprise consumption.
Builds strong and trusting relationships with leaders to support problem resolution and ensure overall awareness of medical cost issues and challenges.
Supports finance in the annual and multi-year planning process including development of medical cost targets, key metrics, and projections.
Analyzes emerging medical cost results and forecast the impact of those results on future periods (including identification and execution of actions to improve those results).
Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership
Develops a deep understanding of the economic impact of the components, drivers, and indicators of the ChenMed core model and external factors.
Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

Strong analytical, problem-solving, critical-thinking, communication, and relationship skills
Effective organization skills with the ability to work in a very fast-paced, team-oriented environment with minimal supervision
Ability to interpret the needs of the organization and communicate actionable insights through analytics
Ability to develop presentations to drive action/impact
Ability to model financial concepts of ROI, IRR, etc.
Strong financial acumen, problem-solving and analytical skills with keen attention to detail and accuracy
Ability to analyze multiple data sources to develop deep understanding of market dynamics, identify and prioritize opportunities, and spot trends
Extensive knowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs
Excellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc)
Experience with PowerBI, Qlikview & SQL preferred
Spoken and written fluency in English
This job requires use and exercise of independent judgment

EDUCATION AND EXPERIENCE CRITERIA:

Bachelor’s degree: experience may substitute for education on a year-for-year basis above the minimum experience required
Bachelor’s degree in Finance, Data Analytics or Economics and/or MBA preferred
Minimum of four (4) years of related experience
Experience in a Medicare Advantage, Hospital Systems and/or risk-based healthcare organization, preferred

PAY RANGE:

$76,732 - $109,617 Salary

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite

Apply Now

Refine Your Search

sr. analyst, fraud & payment analytics jobs in miami fl

Senior Health Economics Analyst

Sr Plan Forecast Budget Analyst, Finance FP&A, FT,08A-4:30P

Senior Analyst

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Sr. Analyst, Fraud & Payment Analytics

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Analyst Sr., Operational Performance & Analytics

Sr. Benefits Analyst

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Sr Financial Analyst

Senior Analyst, Commercial Strategy and Analytics

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