- MyFlorida (Tallahassee, FL)
- …investigations and reviews of policy forms, rates, contracts, endorsements, claims forms, handling practices, underwriting practices, advertising, premium refunds, ... record management, and other insurance-related business practices. + Conduct reviews, monitoring, and statutory examinations of certain industry-related companies to support Agency oversight and implementation of the Florida Insurance Codes. Manage the project… more
- Humana (Tallahassee, FL)
- …processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; ... Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations, policies,… more
- GE Vernova (Pensacola, FL)
- …bonded warehouses, temporary import processes, reconciliation, duty drawback, duty recovery claims , etc. + Oversight of import and export licensing, PGA ... requirements, and other regulatory agency determinations. + Implement and maintain corporate policies, procedures and import & export manuals, etc. + Work with approved authorized providers and agents to support daily customs clearances and international… more
- US Foods (Tampa, FL)
- …to ensure proper department functioning. Purchase fuel and shop equipment, file warranty claims and recover warranty dollars, and develop the yearly budget. * Work ... with drivers to enable them to operate specialized equipment properly, and provide assistance as needed when troubles develop on the road. Find qualified service to repair downed vehicles and obtain competitive bids for repairs. * Comply with OSHA, DOT, and… more
- MyFlorida (Tallahassee, FL)
- …as engage in other prevention activities, including pre-payment reviews, paid claims reversals, site visits, identifying and processing sanctions of providers, ... including fines, suspensions and terminations from participation in the Medicaid program, and imposing payment restrictions. The selected candidate may be responsible for conducting audits, writing summary reports, and making referrals to other entities… 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
- Affordable Care (FL)
- …cannot be met. + Act as primary point-of-contact for insurance claims , oversee casualty resolution projects, and work directly with insurance adjusters. ... + Foster and achieve regular communication with other Teams including local Team Members, Corporate Operations Team, Construction/Design Team, Compliance, Legal, and Executive Leadership Team. + Develop, manage, and report on post-completion surveys to… more
- Air National Guard Units (Jacksonville, FL)
- …You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more
- Army National Guard Units (FL)
- …You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. In lieu of specialized experience, you may qualify with the following education or combination of both education and experience: Successful completion of 1 full year of graduate level education or… more
- Simon Roofing (Miami, FL)
- …my qualifications and abilities. I hereby release the Company from any and all claims or action or causes of action arising out of the Company's lawful inquiries ... and/or its determination of my qualifications and abilities. Powered by JazzHR more
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