- Molina Healthcare (Tampa, FL)
- …years Application Design, Development Experience and, Management, Healthcare Industry ** Preferred Experience** 10+ years, Healthcare Industry + **_Experience with AI ... Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS reporting,… more
- Centene Corporation (Tallahassee, FL)
- …business needs. + **Design and maintain** attribution models based on claims data, member selection, contractual arrangements, and regulatory requirements. + ... experience having led large scale initiatives required required Operations experience preferred Pay Range: $145,100.00 - $268,800.00 per year Centene offers a… more
- Molina Healthcare (Orlando, FL)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... or equivalent combination of education and experience **Required Experience** 7-9 years ** Preferred Experience** 10+ years To all current Molina employees: If you… more
- Kyndryl (Tallahassee, FL)
- …a strong plus, especially in payer/provider operations and care management workflows. ** Preferred Qualifications: ** + 15+ years' experience in contact center sales, ... Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is… more
- LEGOLAND (Winter Haven, FL)
- …organization of the reporting/tracking process related to incidents & injuries. Reviews claim forms and related documents for completeness in addition to maintaining ... the system as new information is received in regards to guest/employee incidents and claims management. + Follows up on the status of all General Liability, Bodily… more
- AdventHealth (Maitland, FL)
- …day operations. + Works reports daily, maintaining established goal(s), and notifies Director , of issues preventing achievement of such goal(s). Manages the follow ... Produces written correspondence to payers and patients regarding status of claim , requesting additional information, etc. Participate in insurance claim … more
- Carnival Cruise Line (Miami, FL)
- Processes data entry, vendor claims , and Purchase Order (PO) research. Job Functions: + Process vendor claims , internal department claims , delivery receipts ... year data entry experience + Accounting experience, Excel spreadsheet experience preferred Knowledge, Skills & Abilities: + The Receiving Coordinator role processes… more
- Polk County Public Schools (Bartow, FL)
- …and risk management administration. This position gathers information, reviews claims , communicates and coordinates information to third-party administrators (TPA), ... Expedites all legal requests, subpoenas, and correspondence. * Advises manager or director of all risk management issues through memos, reports, and correspondence.… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return...or more years in clinical or related administration position. Preferred to have at least 2 years of clinical… more
- Zurich NA (Tallahassee, FL)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... including an associate degree and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft Office + Experience working on… more