- Evolent (Tallahassee, FL)
- …and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and ... and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new...verification may be required as part of the application process . This is collected for compliance and security purposes… more
- Molina Healthcare (Tampa, FL)
- …analyzes, and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert by working with the less complex and ... + Facilitates onshore/offshore vendor system access for technology platforms and HR systems + Submits work tickets to addresses IT concerns and performs requisite… more
- American Express (Sunrise, FL)
- …inter-company agreements (ICA), issue management, the new product approval process , audit, and independent compliance testing (ICT), and financial institution ... level + Analyzing outputs from existing risk management tools and systems to identify enhancement opportunities and inform decisions. **Minimum Qualifications** +… more
- Acosta Group (Jacksonville, FL)
- …problem solver/agent for change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims, assesses the reason for the escalation, and ... invoices, contracts, and Proof of Performance to claims as needed. + Uses systems , reports, and Standard Operating Procedures to work assigned claim steps and gather… more
- NBC Universal (Orlando, FL)
- …within specific departments. You'll learn more about this during the recruitment process . JOB SUMMARY: An analytical role with experience in financial analysis, data ... experience in finance and/or analytics. + Experience in querying relational database systems and writing code in Structured Query Language (SQL). + Expert knowledge… more
- American Express (Sunrise, FL)
- …for business related purposes. + Knowledge of American Express products and systems + Strong knowledge of banking industry and related regulations and laws ... effective business decisions + Experience delivering effective feedback to support process improvement(s) and/or enhanced proficiency + CAMS and/or CFE certification… more
- MUFG (Tampa, FL)
- …technology, engineering, finance, risk management, economics, accounting, management information systems , or related field and/or math (STEM) discipline. + Some ... using SQL, Python), BI, and big data technologies + Exposure to metadata process , data lineage, and traceability repositories and technologies + Exposure to Hadoop… more
- Siemens Energy (Orlando, FL)
- …counterparts and customer success teams totrack customer engagements throughout sales process and plan actions insupport of on-going customer engagements, including ... With ~100,000 dedicated employees in more than 90 countries, we develop the energy systems of the future, ensuring that the growing energy demand of the global… more
- Bank OZK (Clearwater, FL)
- …branch escalations while responding quickly to high-risk incidents. + Utilizes various systems to accurately document fraud attempts, trends, and loss events. + ... on fraud-related incidents and emerging trends and makes recommendations for process improvement. + Regularly exercises discretion and independent judgment in the… more
- Highmark Health (Tallahassee, FL)
- …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims, clinical, enrollment and provider data + ... the accessibility of our website or need assistance completing the application process , please contact the email below. For accommodation requests, please contact HR… more