- Deloitte (Jacksonville, FL)
- …Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic Hospital Billing application build, ... of requirements and support of less experienced client analysts + Develop system design, including functional specifications and strategies, based upon the analysis… more
- AdventHealth (Riverview, FL)
- …loss and ensures all risk management activities, including the internal event report system and patient grievance process are in compliance with FL State Statute ... defense response. The CRMC also acts as the internal system administrator for the voluntary event reporting system... system administrator for the voluntary event reporting system . **The value you'll bring to the team:** Performs… more
- Molina Healthcare (St. Petersburg, FL)
- …processes through ETL, Streaming, API, etc., between diverse source and target systems with structured and unstructured datasets * Design and build data solutions ... * Code, test, and document new or modified data systems to create robust and scalable applications for data...Python, Ruby or Perl. * Experience in building stream-processing systems , using solutions such as Kafka, Storm or Spark-Streaming… more
- Humana (Tallahassee, FL)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… more
- Community Health Systems (Naples, FL)
- The ** System Director of Risk Management** is a key leader responsible for overseeing risk management, patient safety, and regulatory compliance across Physicians ... Regional Healthcare System . This role ensures compliance with federal, state, and...incident reporting and medication variance tracking through computerized risk systems . + Monitor trends, identify safety issues, and conduct… more
- Naval Air Systems Command (Jacksonville, FL)
- …and maintenance of various parts, assemblies, subassemblies, and components of pneudraulic systems . You will use test equipment, hand and power tools, and measuring ... devices to test and troubleshoot less complex hydraulic and pneudraulic components and systems . You will make internal adjustments during overhaul and test of less… more
- USAA (Tampa, FL)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... Special Investigations Unit for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process for complex … more
- Sedgwick (Miami, FL)
- …the claim process. + Maintain accurate and timely documentation in proprietary claims systems . + Collaborate with internal teams and external counsel to ... strong client relationships. + Participate in regular discussions with clients regarding claim status/developments and reserving of excess claims . + Engage… more
- Zelis (St. Petersburg, FL)
- …and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by ... call center setting, this role focuses on identifying and resolving various claim processing and provider billing issues. Additionally, the Medical Bill Navigator… more
- Sedgwick (Orlando, FL)
- …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... information that meets both the internal and external customer's requirements accurately into the claims management system . + Assigns new claims to the… more