- BrightSpring Health Services (Altamonte Springs, FL)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and… more
- Wounded Warrior Project (Jacksonville, FL)
- …benefits and claims . + Cultivate and maintain strategic relationships with senior leaders at the VBA, VHA, DoD, other federal agencies, and like-minded nonprofit ... Relations efforts in the National Capital Region by strengthening relationships with senior leaders at the VBA, VHA, DoD, other federal agencies, and National… more
- MDD Forensic Accountants (Fort Lauderdale, FL)
- …+ Perform forensic research to trace funds and identify assets for recovery + Verify claim to source documents + Evaluate insurance claims and economic damage + ... corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Staff Accountant to serve… more
- AdventHealth (Maitland, FL)
- …sources using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on new ... Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, CPT, HCPCS II, DRG and revenue codes… more
- University of Miami (Medley, FL)
- …. The University of Miami/UHealth Central Business Office has exciting Full-Time Senior Medical Biller opportunities work remotely. The Senior Medical Biller ... on accounts and monitors to keep the contents at a minimum. + Verifies all claims and ensures edits are collected and released in a timely fashion. + Reports edits… more
- CenterWell (Sebring, FL)
- …HCHB and computer programs as appropriate. . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all ... to ensure other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- L3Harris (Melbourne, FL)
- …centralized Global Labor & Employment practice group, reporting to the Senior Director, Managing Counsel - Labor, Employment, Benefits, and Immigration. Essential ... Functions: + Investigate, negotiate and resolve pre-litigation claims and administrative charges to drive results consistent with the company's labor and employment … more
- Norstella (Tallahassee, FL)
- …and India. **Job Description :** We are seeking a dynamic and visionary Senior Director of RWD (Real-World Data) Analytics and Innovation to lead real-world data ... integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive… more
- MyFlorida (Tallahassee, FL)
- …Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics ... in this class. This position works under the direct supervision of a senior level attorney. I. INVESTIGATION OF ANTITRUST VIOLATION: Assists the Lead Attorney in… more
- Molina Healthcare (St. Petersburg, FL)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior individual contributor with the charter to build a focused CTM… more