- Evolent (Tallahassee, FL)
- …engineers in designing, building, integrating and maintaining data pipelines to support healthcare data integration and operations. This role involves managing data ... as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing… more
- WESCO (Groveland, FL)
- …As the Senior Warehouse Admin you will provide operational and administrative support at the facility level. This includes counting stock, processing and running ... + Maintain return authorization and credit memo forms + File and research freight claims when appropriate + Assist with building maintenance and security + Run and… more
- Deloitte (Tallahassee, FL)
- …pharmacies and patients. + Prepare self-insured financial projections and support health plan management, including financial reporting, premium rate setting, ... by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. +… 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. ... with business partners such as providers, facilities, and vendors to support program effectiveness. + Uses Utilization Management system platform with proficiency.… more
- Humana (Tallahassee, FL)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
- Marriott (Fort Lauderdale, FL)
- …* Works with the unemployment services provider to respond to unemployment claims . * Attends unemployment hearings and ensures property is properly represented. * ... to Standard and Local Operating Procedures (SOPs and LSOPs) and support the Peer Review Process. **Managing Human** **Resources Communication** * Communicates… more
- HD Supply (Jacksonville, FL)
- …of accounts receivable calculations and records, including cash receipts, claims , overdue invoices, interest charges, refunds, and related items. Maintains ... Clears and matches account information. + Performs clerical functions necessary to support the Accounts Receivable Department. **Nature and Scope** + Refers complex,… more
- Walmart (St. Petersburg, FL)
- …area in accordance with Company policies and procedures by properly handling claims and returns zoning the area arranging and organizing merchandise and identifying ... standards of integrity ethics and compliance models the Walmart values to support and foster our culture holds oneself and others accountable supports Walmarts… more
- ZOLL Medical Corporation (Miami, FL)
- …provision of ZOLL products/services with physicians, other healthcare professionals and support staff.Essential Functions + Visit ZOLL customers and accounts in the ... and workflows to achieve operational efficiencies. + Responsible for improved claims billing yield within a defined geography consisting of assigned accounts,… more
- Kubicki Draper (Tampa, FL)
- …motions, and discovery in cases involving catastrophic injury and bodily injury claims . * Attend hearings, depositions, and mediations. * Participate in meetings ... in your legal journey-from your first case to your hundredth-you'll find the support , challenge, and opportunity to succeed. Kindly note: Direct applicants only. No… more