- L3Harris (Melbourne, FL)
- …and practices remain compliant. + Manage and resolve pre-litigation disputes and claims related to real estate leases and projects, including construction defects, ... contract disputes, and property-related issues. + When outside counsel is engaged, oversee and manage their work to align with the company's legal strategy and objectives. Qualifications: + JD from an accredited law school and a minimum of 7 years of legal… more
- City of Boca Raton (Boca Raton, FL)
- …+ Assists and advises employees on benefits matters regarding eligibility, claims resolution, coverage, and provisions. + Assist in coordinating and planning ... annual benefit open enrollment meetings; attend vendor-sponsored education sessions to assist employees as needed. + Participates in or independently conducts special projects, research, studies, and/or analysis pertaining to Benefits area. + Monitors, reviews… more
- Molina Healthcare (Miami, FL)
- …**Required Experience** + 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed ... healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for service, capitation, and various forms of risk, ASO, etc. **Preferred Education** Bachelor's Degree. **Preferred… more
- Molina Healthcare (St. Petersburg, FL)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... + Attends or chairs committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the… more
- Executive Office for US Attorneys and the Office of the US… (Tampa, FL)
- …completeness (eg, court documents, real estate documents, contracts, insurance or benefits claims , mortgage or loan applications, tax forms, or other types of legal ... documents); typing and formatting correspondence and forms; maintaining file systems; and obtaining needed information from files or general reference sources. Combining Education and Experience: Successfully completed post-high school education may be used to… more
- Molina Healthcare (FL)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Cognizant (Tallahassee, FL)
- …health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue monitoring, Storage monitoring, Connect Direct subsystem. + Contact different ... teams if requested by on-call + For application upgrade events, place job queues on HOLD for MOD and Patch instances + Responsible for performing and monitoring all backups on the IBM i Platform. **Required Qualifications:** + 2+ years of IBM i (AS400)… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more