Top 136 Senior claims 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
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
Sr. Medical Biller (H)
University of Miami —Medley, FL
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
SENIOR CLAIMS REPRESENTATIVE
Universal Insurance Managers Inc —Miami, FL
- Full-time
- Bilingual
- Microsoft Excel
- 5 years
Quick Apply
Senior Editor, Economics & Financial Services
Deloitte —Miami, FL
- $113,100 - $208,300 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- English
Senior Workers' Compensation Claims Examiner - Federal Claims
AIG Claims, Inc. —Miami, FL
- $73,000 - $96,000 a year
- Email
- Customer service
- Writing skills
- Office
- Health insurance
Quick Apply
Senior Provider Relations Advocate - Miami, FL - Bilingual Spanish Required
UnitedHealthcare —Miami, FL
- $72,800 - $130,000 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Access
Healthcare Accounts Receivable Senior Associate
Alteva RCM —Fort Lauderdale, FL
- $65,000 - $80,000 a year
- Mid-level
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Senior Account Manager (Fully Remote)
Insurance Office of America, Inc. —Miramar, FL
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Billing Specialist
PARADIGM SENIOR SERVICES INC —North Miami, FL
- $55,000 - $65,000 a year
- Full-time
- Microsoft Outlook
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Senior HR Generalist
UniVista Insurance —Miami, FL
- $70,000 - $75,000 a year
- Spanish
- English
- Senior level
Quick Apply
Senior Risk Control Consultant
Gallagher —Miami, FL
- Full-time
- Customer service
- 3 years
- Bachelor's degree
- Paid parental leave
- Health savings account
Senior Discovery Business and System Analyst (Top Secret Clearance Required)
Contact Government Services, LLC —Miami, FL
- $118,984.50 - $171,866.50 a year
- Full-time
- Hybrid work
- Research
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Senior Property Adjuster - Orlando
Engle Martin and Associates, LLC. —Miami, FL
- Full-time
- Microsoft Word
- Hospital
- Customer service
Quick Apply
3d
Senior Accounting Clerk - Controllers
Florida International University —Miami, FL
- $35,000 - $40,000 a year
- Online Application
- Background check
- Research
- Mid-level
Senior Consultant - Fleet Safety
Marsh —Miami, FL
- $112,600 - $239,800 a year
- Full-time
- Hybrid work
- Microsoft Excel
- 5 years
- Office
- Employee stock purchase plan
- Health insurance
Sr. Customer Service Representative-Bilingual
Advance Esthetic, LLC —Fort Lauderdale, FL
- $16 - $18 an hour
- Full-time
- Bilingual
- CRM software
- Background check
- Health insurance
- Dental insurance
Quick Apply
Analyst, Senior Compliance
Royal Caribbean Group —Miami, FL
- Full-time
- Research
- Office
- Analysis skills
- Wellness program
Senior Casualty Underwriter - General Liability & Excess E&S Wholesale
Liberty Mutual —Miami, FL
- $69,000 - $233,000 a year
- Full-time
- 3 years
- Business development
- Analysis skills
Senior Underwriter Officer, Energy
Liberty Mutual —Miami, FL
- $98,000 - $298,000 a year
- Full-time
- Spanish
- 5 years
- English
2d

I want to receive the latest job alert for senior claims in miami fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior claims jobs near miami fl

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

senior claims jobs in miami fl

Senior Health Economics Analyst

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

Sr. Medical Biller (H)

SENIOR CLAIMS REPRESENTATIVE

Senior Editor, Economics & Financial Services

Senior Workers' Compensation Claims Examiner - Federal Claims

Senior Provider Relations Advocate - Miami, FL - Bilingual Spanish Required

Healthcare Accounts Receivable Senior Associate

Senior Account Manager (Fully Remote)

Billing Specialist

Senior HR Generalist

Senior Risk Control Consultant

Senior Discovery Business and System Analyst (Top Secret Clearance Required)

Senior Property Adjuster - Orlando

Senior Accounting Clerk - Controllers

Senior Consultant - Fleet Safety

Sr. Customer Service Representative-Bilingual

Analyst, Senior Compliance

Senior Casualty Underwriter - General Liability & Excess E&S Wholesale

Senior Underwriter Officer, Energy

I want to receive the latest job alert for senior claims in miami fl

Related Searches

Explore jobs in more locations

KNOWLEDGE, SKILLS AND ABILITIES:

EDUCATION AND EXPERIENCE CRITERIA:

Job Seeker Tools

Employer Tools

Browse

Stay Connected