- Molina Healthcare (FL)
- …to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations ... in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for claims specific positions only_ ) * Prepares, tracks and provides audit findings reports according to designated… more
- Citizenship and Immigration Services (Hialeah, FL)
- …the day-to-day operations of a clerical support team in immigration records, adjudication , and mail operations for a USCIS field office. Provides administrative, ... records and mail management, FOSS contract services if applicable, and adjudication , enforcement case processing in a field office. Provide facility management… more
- Commander, Navy Installations (Key West, FL)
- …Standardized Module Training. Assists the Training and Curriculum (T&C) Specialist in helping lower-level CY Program Assistants translate professional development ... and makes recommendations to credential practicum candidates. Assists the T&C Specialist with recording observations and charts progress of team members' on-the-job… more
- ICW Group (Orlando, FL)
- …to regulatory and internal guidelines as they apply to claims processing and adjudication . This position will collaborate with other teams to develop strategies to ... claims audits. + Ensures the Audit plan covers all aspects of claims adjudication . + Analyzes jurisdictional requirements for changes and proposes changes to the… more
- Pfizer (Tampa, FL)
- …Engage key external stakeholders eg, Ad boards, Steering Committees, DMC, Adjudication Committees, patients and patient advocates and other external stakeholders, to ... + Cardiology, endocrinology, nephrology, internal medicine, or obesity medicine specialist with drug development experience across all Phases of development.… more
- Hatch (Tampa, FL)
- …engineering input, defined including vendor scope of works, technical adjudication , technical quality assessment, factory acceptance, etc. * Integrated engineering ... and appropriate technical personnel development programs are conducted. * Involve specialist technical expertise from within Hatch or externally as necessary. *… more