- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated… more
- Molina Healthcare (Jacksonville, FL)
- …state, vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Review of claims ... identified for overpayment recovery. **Job Qualifications** **REQUIRED QUALIFICATIONS:** + At least 1 year of administrative support experience, or equivalent combination of relevant education and experience. + Strong organizational and time management skills;… more
- Deloitte (Lake Mary, FL)
- …remediate issues, and ensure SLA compliance. + Collaborate with business, eligibility, claims , and technical teams to roll out new interfaces, partner onboarding, ... test cases, and support procedures. + Collaborate with business, eligibility, claims , and finance workgroups to translate business requirements into technical EDI… more
- Sedgwick (Tallahassee, FL)
- …protocols to obtain pertinent data; and enters data into computer system . + Identifies life-threatening emergencies and recommends appropriate interventions. + ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Oracle (Tallahassee, FL)
- …studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external ... desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming...will be kept on our Internal ATS (Applicant Tracking System ) for as long as is necessary for the… more
- Zurich NA (Tallahassee, FL)
- …performed by supplier. Responsible for participating in continuous process and system enhancements to improve operational efficiencies, quality and/or timeliness. At ... Zurich North America Claims , we understand the importance of flexibility and work-life...Analyze operational data, identify trends, and collaborate with the Claims and Admin Support teams to optimize vendor performance… more
- Molina Healthcare (Jacksonville, FL)
- …and change management for operations. Backend operationalization of policies, standardization of system set-up and a resource for all departments and health plans ... Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education**… more
- City of Jacksonville (Jacksonville, FL)
- …real property litigation, eviction, foreclosure, garnishment, eminent domain, and constitutional claims . The attorney will also be expected to mentor less seasoned ... and precedents in resolving complex legal issues. + Investigates claims and complaints by or against the Consolidated Government...work in which qualifications are being based. The application system works best with Google Chrome or Edge with… more
- UIC Government Services and the Bowhead Family of Companies (Miami, FL)
- …case files + Shelve/re-shelve files as appropriate + Utilize the National File Tracking System (NFTS) to locate files and for internal and external file transfers + ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Florida Atlantic University (Boca Raton, FL)
- …create presentations and reports, organize events, and keep office systems running efficiently. You'll support staff, streamline processes, maintain confidential ... agendas and schedule meetings. + Generate reports, as needed. + Organize office systems and procedures for improved efficiency. + Provide timely notice to the… more