- USAA (Tampa, FL)
- …OFAC, NACHA, PCI). + Familiar with core insurance systems (eg, Guidewire) and claims workflows. + Proven ability to influence decision making through data supported ... recommendations. + Experience with KPIs, Dashboards and data analytics. + Experience working with moderate to highly complex projects and processes that deliver business impact & value. + Skilled in cross-functional leadership and influencing stakeholders… more
- Humana (Tallahassee, FL)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be passionate about contributing to an… more
- HSBC (Miami, FL)
- …proposals for clients and ensures the proper handling of any subsequent claims + Required to be client-service orientated and proactively look for ways ... to increase revenues, improve customer service, and add value to our internal Group partners + Track carrier and product performance against benchmark standards. Recommends shifts in providers and /or product offerings on an as needed basis + Develop strategic… more
- MyFlorida (Tallahassee, FL)
- …tracking, inspections , and surplus/decommissioned inventory + Maintain and process warranty claims for agency items + Assist with annual fiscal year-end inventory ... reports + Assist with the purchasing of office materials and supplies MINIMUM REQUIREMENTS: A high school diploma or its equivalent and three-year's experience in a related field or a bachelor's degree from an accredited college or university. KNOWLEDGE,… more
- Molina Healthcare (Tampa, FL)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... ETL pipelines to support ongoing reporting and analytics workflows. * Utilize Databricks and Snowflake to develop scalable data pipelines and analytical datasets. * Create and maintain Power BI dashboards to deliver insights on utilization, outcomes, and cost… more
- Molina Healthcare (Jacksonville, FL)
- …experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree and/or equivalent ... combination of education and Health Care related experience of 4+ years **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 4+ years experience in health care industry in related field **PREFERRED EDUCATION:** Bachelor's degree in healthcare related field… more
- Acosta Group (Clearwater, FL)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- University of Miami (Miami, FL)
- …a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews, ... including impact analysis on all charge, revenue, and CPT code changes, and financial modeling to drive revenue improvement. Staying current with industry trends and emerging technologies is essential to support strategic goals. Charge Capture & Revenue… more
- Ryder System (Miami, FL)
- …Management . Coordinate and collaborate with actuarial specialists, captive broker and claims system vendor 1 . Conduct in-depth financial analysis to provide ... insights for senior management and facilitate data-driven decision making . Lead, mentor, and develop a team of accounting professionals . Coordinate and manage internal and external audit activities for the insurance area **Skills and Abilities** +… more
- Sysco (Riviera Beach, FL)
- …processing teams. + Work closely with the quality control teams to ensure claims are submitted to obtain supplier credits + Responsible for maintaining and reporting ... regulatory compliance (ie USDA, food safety documentation, etc.). + Responsible for handling will call transactions involving payments from customers and employees. Includes processing of employee purchases. **QUALIFICATIONS** **Education** + High School… more