Top 40 Claims analyst Jobs in Saint Petersburg, Fl

Bill Review Systems Analyst
Paradigm Corp —Tampa, FL
- $93,000 - $121,000 a year
- Full-time
- Remote
- 3 years
- Bachelor's degree
- Organizational skills
- Health savings account
- Paid holidays
14d
Health Informatics Analyst
Ibis Healthcare —Tampa, FL
- Full-time
- Mid-level
- SQL
Quick Apply
Denials Management Analyst
Shriners Hospitals for Children —Tampa, FL
- $66,872.00 - $100,318.40 a year
- Full-time
- 18 years or older
- 5 years
- Research
Quick Apply
13d
Epic Application Analyst, Professional & Hospital Claims
Shriners Hospitals for Children —Tampa, FL
- $80,912.00 - $121,388.80 a year
- Full-time
- 18 years or older
- Mid-level
- Bachelor's degree
Quick Apply
13d
Epic HB Analyst
ClinDCast LLC —Tampa, FL
- $50 - $55 an hour
- Full-time
- Mid-level
Quick Apply
Denials Management Analyst (Anesthesia)
Shriners Hospitals for Children —Tampa, FL
- $66,872.00 - $100,318.40 a year
- Full-time
- 18 years or older
- Research
- Mid-level
Quick Apply
13d
Senior Revenue Cycle Analyst (CA)
Shriners Hospitals for Children —Tampa, FL
- $80,912.00 - $121,388.80 a year
- Full-time
- 18 years or older
- 5 years
- Bachelor's degree
Quick Apply
13d
Claims Analyst
Arrive Logistics —Tampa, FL
- Full-time
- Remote
- Customer service
- 3 years
- Finance
- Paid parental leave
- Paid holidays
Quick Apply
Ops Analyst, DRG
Zelis —Saint Petersburg, FL
- $54,000 - $68,400 a year
- Full-time
- Inventory management
- Data analysis skills
- Mid-level
- Paid holidays
- Disability insurance
OPS RECORDS ANALYST - 64858462
The State of Florida —Tampa, FL
- $20.25 an hour
- Temporary
- Background check
- Medical office experience
- Pass drug screening
- Dental insurance
- Flexible spending account
1d
Claims Risk Analyst
Bloomin' Brands Restaurant Support Center —Tampa, FL
- Mid-level
- Office
- Bachelor's degree
- Dental insurance
- 401(k)
Quick Apply
OPS OPERATIONS ANALYST I - 64800154
The State of Florida —Tampa, FL
- $20.25 an hour
- Temporary
- Background check
- Spanish
- Pass drug screening
- Dental insurance
- Flexible spending account
1d
Risk Management Analyst
Pinellas County Government —Pinellas County, FL
- $52,249.60 - $67,912.00 a year
- Monday to Friday
- Word processing
- Computer literacy
- Writing skills
5d
Managed Care Program Analyst
Acrisure, LLC —Bradenton, FL
- Mid-level
- Finance
- Master's degree
- Commuter assistance
- Paid parental leave
8d
Business Analyst - Workforce Development Software
Career Team —Tampa, FL
- Remote
- Background check
- Mid-level
Quick Apply
Data & I.T. System Analyst
BOLEY CENTER —Saint Petersburg, FL
- $28 - $29 an hour
- Full-time
- Background check
- Computer science
- Computer Science
Quick Apply
Quality Assurance Analyst
WEST POINT UNDERWRITERS LLC —Pinellas Park, FL
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Paid holidays
- Health insurance
1d
Risk Manager / Senior Risk Analyst
Integro Professional Services, LLC —Tampa, FL
- $120,000 - $150,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Computer Science
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Senior Discovery Business and System Analyst (Top Secret Clearance Required)
Contact Government Services, LLC —Tampa, FL
- $118,984.50 - $171,866.50 a year
- Full-time
- Hybrid work
- Research
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Duck Creek Policy Business Analyst
LTM —Tampa, FL
- $110,000 - $130,000 a year
- Writing skills
- Office
- Analysis skills
- Paid parental leave
- Paid holidays
Quick Apply

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claims analyst jobs near saint petersburg, fl

Bill Review Systems Analyst

Paradigm Corp -
Tampa, FL

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Job Details

Full-time
$93,000 - $121,000 a year
14 days ago

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Paid time off
401(k) matching

Qualifications

Performance monitoring
Data analysis reporting
Project change management
Visio
Workers' compensation insurance knowledge
Key Performance Indicators
Management reporting
Managing projects
Productivity software

Full Job Description

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
Watch this short video for a brief introduction to Paradigm.

We are seeking a full-time, remote Bill Review Systems Analyst. The Bill Review Systems Analyst is responsible for analyzing Bill Review operational processes to identify and implement changes to improve performance on key performance indicators including productivity, reliability, quality, and efficiency.
The schedule for this position is Monday - Friday, 8 AM to 5 PM Central Time. This position may require travel 1-2 times per year.

Responsibilities include (but are not limited to):

Serve as system configuration subject matter expert: understand, document, and be able to explain how the bill review system applies rules and settings to process bills.
Work closely with Bill Review leaders to implement any changes to bill review processes including editing of rules and configuration / reconfiguration of systems
Perform data gathering, root cause analysis and performance trending in order to develop appropriate process control changes
Prepare communication plans regarding process re-engineering for multiple stakeholders
Inform respective teams on process improvement and re-engineering strategies
Coordinate internal compliance auditing, monitoring and review activities in conjunction with the Clinical Bill Review department
Provide testing and system support in relation to data reporting processes and requirements
Update and maintain documentation on system configuration as changes are implemented
Assist Project Managers and Program Managers in strategic projects and key initiatives
Identify and resolve Company, State/NCCI Reporting, and/or client data issues, including with vendors as applicable

Requirements:

Bachelor's Degree in appropriate field of study or equivalent work experience
5+ years’ experience in process/systems analysis, engineering, and/or process improvement including executing at least two major process creations or transformations
5+ year’s experience generating and analyzing reports to monitor productivity, throughput, and/or other operational KPIs
Proven working experience in project and change management
Excellent client-facing and internal communication skills
Excellent written and verbal communication skills
Solid organizational skills including attention to detail and multitasking skills
Strong working knowledge of Microsoft Office and Visio
3+ Years’ experience working in bill/claims processing systems in the Workers Compensation industry across multiple jurisdictions.

Paradigm Benefits:

Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at [email protected].
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster

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Refine Your Search

claims analyst jobs in saint petersburg, fl

Bill Review Systems Analyst

Health Informatics Analyst

Denials Management Analyst

Epic Application Analyst, Professional & Hospital Claims

Epic HB Analyst

Denials Management Analyst (Anesthesia)

Senior Revenue Cycle Analyst (CA)

Claims Analyst

Ops Analyst, DRG

OPS RECORDS ANALYST - 64858462

Claims Risk Analyst

OPS OPERATIONS ANALYST I - 64800154

Risk Management Analyst

Managed Care Program Analyst

Business Analyst - Workforce Development Software

Data & I.T. System Analyst

Quality Assurance Analyst

Risk Manager / Senior Risk Analyst

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

Duck Creek Policy Business Analyst

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