- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
- Healthfirst (FL)
- …short-term tactical Operational needs for process improvement, reporting, and project support are agreed upon and accomplished. + Manage progress and deliverables ... on all initiatives, consistently seeking more efficient ways to support the business using technology, cross-training, and other tools to ensure their own optimal… more
- Acosta Group (Jacksonville, FL)
- …customer forms creation, client financial tools, trade spend reconciliation, order and claims alerts, data submissions and support . All necessary job functions ... required to support the Business Manager and client. This individual must demonstrate a strong...maintenance as required. + Trade Reconciliation - Responding to claims alerts, maintaining fund balances within clients metrics. +… more
- Traylor Bros., Inc. (Bradenton, FL)
- …lead estimator and project manager on key projects within the region and support the Area Manager or Operations Manager . Ideal Candidate: Core ... might be right for us! Job Summary: The Project Manager supports the private client book of business with...terms and conditions. . Experienced with proven results in claims management and dispute resolution. . Experience with Design-Build,… more
- AdventHealth (Altamonte Springs, FL)
- …: Altamonte Springs, FL **The role you will contribute:** The Employee Relations Manager is responsible for overseeing and providing support to their assigned ... relations issues. The service scope of the Employee Relations Manager may include, but may not be limited to:...to the promotion of positive employee relations + Provides support for various audits + Responds to claims… more
- Sedgwick (Orlando, FL)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability...with a comprehensive curriculum. + An assigned mentor and manager that will support and guide you… more
- GE Vernova (FL)
- …register and analyze the progress of actions to avoid risks and identify any potential claim + Monitor the progress of all claims /Variation orders to ensure that ... **Job Description Summary** The Contract Manager will provide broad-based and thorough commercial contract... will provide broad-based and thorough commercial contract management support to the Contract Management Regional Leader and the… more
- Centene Corporation (Tallahassee, FL)
- …and implementation of leading-edge analytics that answer important business questions. The manager aligns talent and resources to support enterprise and health ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics strategy through… more
- Molina Healthcare (Miami, FL)
- …execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as ... Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate payment levels, optimize resource utilization,… more
- Travelers Insurance Company (Tampa, FL)
- …reserving, negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim ... partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel… more