- UNUM (Tallahassee, FL)
- …(eg Global Services (IT), members of the sales organization, administration, marketing, claims and underwriting) in ensuring the design and development of our ... offerings align with our strategic intent and the evolving market opportunities + Collaborate across all functional areas to ensure the right resources are allocated to Product and change initiatives + Manage cross initiative decisions / tradeoff evaluations… more
- Humana (Tallahassee, FL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Candidate must have valid Florida Medical license and must be able to start with 30-60 days of hire. The Medical Director actively uses their medical… more
- ABM Industries (Tampa, FL)
- …coordinates bus evacuation activities as appropriate * Immediately reports any incidents or claims to Operations Manager or Shift Lead * Refuel and maintain shuttle ... equipment and fuel use logs * Maintain a clean work environment, disinfecting shuttle after each use * Performs pre-inspection and post-inspection activities to ensure proper operating conditions, adherence to prescribed Department of Transportation standards,… more
- Evolent (Tallahassee, FL)
- …creative ways is preferred + Previous healthcare experience with a focus in claims and prior authorization data is preferred **To comply with HIPAA security ... standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable… more
- Walmart (West Palm Beach, FL)
- …up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink ... and damages organizing and maintaining availability of cartsflatbeds assisting members with transporting items utilizing cart retrieval equipment according to company policies and procedures and maintaining parking lot cleanliness Completes accounting records… more
- Walgreens (Margate, FL)
- …technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient ... issues by working with insurance companies and medical providers and conducting or participating in third party audits. + Follows-up with medical providers to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative… more
- Elevance Health (FL)
- …or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan ... changes. **Minimum Requirements:** Requires a BA/BS in a related field; Minimum 4 years of related experience; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** +… more
- Burns & McDonnell (Orlando, FL)
- …including request for information (RFI's), submittals, change management, and claims mitigation for subcontractors and/or client contractors + Support and ... assist with project controls efforts, including project cost reporting, scheduling, project work breakdown structure establishment, project set-up and closeout within the accounting system, and field progress tracking. + Assist with the development of internal… more
- CVS Health (Tallahassee, FL)
- …complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to establishing ... reporting and achieving desired financial targets by ensuring accurate posting of AR and driving efficient and comprehensive collections with swift identification of exceptions and decisive actions to achieve our KPIs. **What you will do** + Execute day to day… more
- Dycom (West Palm Beach, FL)
- …you'll do as a Senior Investigator** + Conduct investigations into claims of potential harassment, discrimination, workplace misconduct and/or potential violations ... of company policies + Communicate recommendation and guidance on appropriate corrective actions based on investigation results + Provide investigations, findings and summaries to senior leadership + Conduct various data analysis on complaints and related… more