- Chewy (Plantation, FL)
- …and state/local agencies) as well as attorney demand letters and claims involving employment-related concerns. + Draft and negotiate employment-related documents ... including separation agreements and restrictive covenant agreements. + Partner with and advise HR professionals regarding internal investigations, as well as compensation, ERISA, and immigration matters. **What You'll Need:** + JD from an accredited school… more
- Advantive (Tampa, FL)
- …primary contact for employee inquiries regarding benefits policies, programs, and claims . + Create and deliver clear, employee-friendly communication materials and ... FAQs. + Partner with HR Business Partners to provide education sessions and open enrollment support. Compliance & Reporting + Ensure compliance with global, federal, and local benefits-related laws and regulations (eg, ACA, ERISA, HIPAA, GDPR, country-specific… more
- Walmart (Riverview, FL)
- …in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies, ... identifying shrink and damages, and ensuring a safe work environment. Maintains merchandise presentation in the Pharmacy by stocking and rotating merchandise, removing damaged or out-of-date goods, setting up, cleaning, and organizing product displays, signing… more
- Centene Corporation (Tallahassee, FL)
- …calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination updates) + Actively ... involved in the initiation and providing status for prior authorization/coverage determination, appeal / redetermination phone calls + Responsible for ensuring outstanding attention to detail + Identify root cause issues to ensure enterprise solutions and… more
- CVS Health (Tallahassee, FL)
- …of problem solving and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School Diploma or equivalent GED ... **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $42.35 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this… more
- Pactiv Evergreen (Plant City, FL)
- …include calling and working with Pine Buff personnel to isolate defects. 18. Filing Claims with Pine Bluff Mill on a monthly 19. Pulling microbiological samples for ... FDA **Specific Safety Responsibilities:** 1. 1. Report any unsafe conditions that are encountered. 2. Report any injury or near miss to Team Leader immediately. 3. Do not perform a duty that appears to be unsafe without consulting a Team Leader. 4. Recognize… more
- Molina Healthcare (Orlando, FL)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing ... Monitoring/Watch Follow-up * Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes assigned daily alerts for federal/state and license sanctions and exclusions… more
- Molina Healthcare (Jacksonville, FL)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- Molina Healthcare (FL)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL ... 2005/2008 SSRS and Power BI report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** + Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. + Preferred… more
- Actalent (Miami, FL)
- …Pharmacy Technician (CPhT). + Experience in pharmacy operations, appeals, managed care, claims processing, and handling denials. + Strong data entry and customer ... service capabilities. + Proficient in computer systems and applications. + Ability to work independently in a remote environment. Additional Skills & Qualifications + National Pharmacy Technician Certification (CPhT) preferred; required for certain supervisory… more