- Evolent (Tallahassee, FL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- HCA Healthcare (West Palm Beach, FL)
- …The Risk Management Coordinator is responsible for the maintenance of the risk and claims process on a day to day basis insuring that information flows between ... exposure. Responsible for coordinating activities that focus on the management of claims and pre trial preparation. Also responsible for the grievance process… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …completion, Hospital privileges verification, System Award Management (SAM), Claims history, Accreditation (ancillary facilities), Site Visits and obtaining ... OIG reports, SAM report, Board certification, Hospital privileges verification, claims history, Accreditation (ancillary facilities), and obtaining additional information… more
- Customs and Border Protection (Miami, FL)
- …operations of CBP; and Formulates decisions and judgments with reference to resolving claims for and against the government arising out of operations of CBP. ... the VRP lump-sum payment amount will be your responsibility, and no subsequent claims for relocation expenses will be granted by CBP. The lump-sum payment, which… more
- Sedgwick (Tampa, FL)
- …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 ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- AON (Tampa, FL)
- …Aon resources to support clients in unusual circumstances such as large claims , etc. + Involves others across geographic (including international), functional and ... Aon resources to support clients in unusual circumstances such as large claims , etc. + Involves others across geographic (including international), functional and… more
- Walgreens (Lauderdale Lakes, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Miramar, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Robert Half Legal (Coral Gables, FL)
- …client service, we encourage you to apply. Responsibilities: * Initiate claims by requesting accident reports and gathering necessary documentation to support ... * Prepare detailed and tailored demand letters to effectively present client claims during settlement negotiations. Requirements * A minimum of 3 years of… more
- Defense Contract Management Agency (Orlando, FL)
- …(unofficial are acceptable at the time of application) to support your educational claims . Or, if you are using education to qualify in lieu of specialized ... (unofficial are acceptable at the time of application) to support your educational claims . The transcripts must include your name, the name of the college or… more