- Humana (Tallahassee, FL)
- …and 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 + Possess 10+ years of progressive experience leading continuous improvement efforts,… more
- Wondr Health (Tallahassee, FL)
- …diabetes and hypertension, helps enhance employee productivity and engagement, decreases claims costs, and improves overall physical and mental wellbeing. A master ... testing frameworks. + Implement event-driven architectures and near real-time processing pipelines. + Optimize data workflows for performance, cost-efficiency, and… more
- Walmart (Quincy, FL)
- …federal laws and Company policies and procedures by assisting with processing prescription and/or over-the-counter (OTC) orders and purchases, stocking and securing ... in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies,… more
- PCL Construction (Tampa, FL)
- …+ Participates in change management and change order process, including pricing, processing , and assessing cost and schedule impact before reviewing. + Maintains and ... HSE, cost management, schedule, and quality. + Prepares and supervises progress claims and estimates. + Coordinates inventory and tracking of materials and equipment… more
- Dal-Tile Corporation (Jacksonville, FL)
- …and order errors). + Performs various office administration duties such as processing payments and receipts, reconciliation of DSRs and cash box, preparation of ... process customer returns and notify management of damaged shipments for freight claims . + Operates forklift equipment. + Maintains clean and organized facility by… more
- Lake Erie College of Osteopathic Medicine (Defuniak Springs, FL)
- …received by the patient clinic with an understanding of dealing with and processing Florida Medicaid and Medicare; + Possess a strong sense of patient advocacy, ... responsibility for protocols that will aid patients in the reimbursement of insurance claims ; + Assist in the recruitment, interviewing, and hiring of faculty and… more
- Walgreens (Lynn Haven, FL)
- …Seeks new and better ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment ... rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. + Follow-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative… more
- Guardian Life (Tallahassee, FL)
- …logs. + Deliver solutions that enhance underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable ... deep learning models including Large Language Models (LLM) and Natural Language Processing (NLP) + Hands-on experience with GPU, distributed computing and applying… more
- Compass Group, North America (Orlando, FL)
- …and adhering to the location Collective Bargaining Agreement.* Ensuring the timely processing of all unemployment claims .* Supporting managers in completing ... employee investigations and corrective actions processes.* Other duties and responsibilities as assigned. Skills and Experience * High level of computer literacy* Passion for hospitality, food, and retail* Excellent interpersonal and stakeholder management… more
- Highmark Health (Tallahassee, FL)
- …review, assisting in navigating a complex regulatory environment, working with claims data, performing financial analyses, and supporting the presentation of ... skills, as well as, proficiency in the use of computer-based data processing + Microsoft Office products, and database applications + Pharmacy license… more