- MyFlorida (Orlando, FL)
- …but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable ... accreditation process and timely cooperation with requests from the MFCU Accreditation Manager and members of the Accreditation Team. This is independent work… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …as well as knowledge of the interconnection between Utilization Management, claims , and regulatory requirements to respond to complex and/or escalated inquiries. ... who could benefit from care management and refers to the appropriate care manager . + Utilizes critical thinking skills to identify process issues and problems and… more
- Elevance Health (FL)
- …written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- PCL Construction (Tampa, FL)
- …prior to forwarding to design for review. + Coordinates with project manager and superintendent in managing and reporting overall project or select scope ... HSE, cost management, schedule, and quality. + Prepares and supervises progress claims and estimates. + Coordinates inventory and tracking of materials and equipment… more
- MyFlorida (Bradenton, FL)
- …necessary or required. + Maintains Continuing Education Units, Certified Food Manager Certification, FDA standardization and Florida driver's license. + Maintains ... Affairs has also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The Department of Business… 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 ... company required. + Ten (10) years or more Public Accounting experience at a manager level or equivalent industry experience required. + Ten (10) years or more… more
- Magellan Health Services (Orlando, FL)
- …services as necessary. + May also be certified by DMDC as Site Security Manager (SSM) with responsibility for the safekeeping, storing, and accountability of the CAC ... in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from similar… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** The Product Implementation Manager role is responsible for product/plan approval and auditing, in additional to ... specifically Medicare Advantage products such as product development, clinical, claims , operations requirements, implementation, and plan sponsor structure development.… more
- ABM Industries (Clearwater, FL)
- …and 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… more
- Elevance Health (FL)
- …preferred. + Practical business experience preferred. + Experience in healthcare claims , health care benefits/total rewards and data analysis preferred. + Excellent ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more