- 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 ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Elevance Health (Miami, FL)
- …research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical...audit claims adjudication for accuracy. + Prepares correspondence to providers… more
- MyFlorida (Tallahassee, FL)
- ASSISTANT ATTORNEY GENERAL-DLA - 41001035 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate...promotion unless they are registered with the Selective Service System (SSS) before their 26th birthday, or have a… more
- Stantec (Orlando, FL)
- …Stantec's policies and procedures. - Selection and implementation of Project Management systems to meet the commercial and design management requirements of the ... Project. System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of… more
- UIC Government Services and the Bowhead Family of Companies (Pensacola, FL)
- …inspections, and ensure hardware assembly meets Navy standards. * Prepare system documentation, including technical reports, engineering change proposals (ECPs), and ... * Conduct post-installation testing and verification in coordination with training system evaluators. * Support field adjustments, reengineering, or retrofitting of… more
- Cummins Inc. (Riviera Beach, FL)
- …sheets, warranty claims , quality documents via handwritten forms or business system input screens. + Ongoing training and additional certifications on new and ... claims , quality documents via handwritten forms or business system input screens Completes training in line with skill...has been resolved; documents results of troubleshooting in business systems to communicate what has been done for payment… more
- MyFlorida (Jacksonville, FL)
- OPS OPERATIONS ANALYST I - 64801493 Date: Sep 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... duties relating to the processing of Social Security disability claims . This position requires the incumbent have good oral...to determine appropriate destination. This requires use of SSA systems and DDS software in order to associate medical,… more
- NextEra Energy (Palm Beach Gardens, FL)
- …Escalates top issues with OEMs and drives resolution * Manages ClaimTrax our internal claim management system * Supports operations in claim management from ... submission to approval * Works with OEMs to drive targeted return to services times of down units * Prepares and distributes monthly reports on warranty team metrics to leadership * Supports End of Warranty Process and Serial Defect Negotiations with OEMs *… more
- CVS Health (Tallahassee, FL)
- …-Explains member's rights and responsibilities in accordance with contract. -Processes claim referrals, new claim handoffs, nurse reviews, complaints ... (member/provider), grievance and appeals (member/provider) via target system . -Educates providers on our self-service options; Assists providers with credentialing… more
- Walmart (Orange Park, FL)
- …3: 1 year's experience in one of the following areas: accounting, claims , inventory control, systems /UPC, personnel, or loss prevention/asset protection in ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more