- CVS Health (Plantation, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... and Resolve:** Handle member inquiries and escalations related to benefits, claims , eligibility, and policy interpretation by identifying root causes, coordinating… more
- LCEC (North Fort Myers, FL)
- …insurance programs, policy administration, and records management, and serves as a key advisor to executive leadership and the Board of Trustees on risk and ... liability, workers' compensation, cyber, and auto coverage. Oversee insurance renewals, claims processing, broker relationships, and cost analysis + Manage the… more
- Intermountain Health (Tallahassee, FL)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs. This position supports higher level analytics for CDI… more
- Norstella (Tallahassee, FL)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- USAA (Tampa, FL)
- …to materially change and improve business performance. + Serves as strategic advisor bringing diverse perspective to leverage multiple ways of thinking while ... analyze data. **What sets you apart:** + Broad experience and expertise in Claims Investigations to include enabling new or enhanced capabilities. + Familiarity with… more
- Adecco US, Inc. (Orlando, FL)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... customer needs. **Key Responsibilities** 1. Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and… more
- Amentum (Tallahassee, FL)
- …the company's operations and strategic objectives. The Director acts as a key advisor to business units and senior leadership on risk-related matters and ensures ... appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with… more
- Evolent (Tallahassee, FL)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... that drive enterprise-wide decision-making. + Serve as a strategic advisor to senior leadership, proactively identifying business challenges and delivering… more
- Chewy (Plantation, FL)
- …labor law. The successful candidate will be both a strategic advisor and hands-on problem solver, providing practical, business-oriented day-to-day employment law ... and state/local agencies) as well as attorney demand letters and claims involving employment-related concerns. + Draft and negotiate employment-related documents… more
- HSBC (Miami, FL)
- …to develop wealth planning strategies + Position himself/herself as a key advisor by providing compliant, client-centric insurance solutions + Educate partners and ... proposals for clients and ensures the proper handling of any subsequent claims + Required to be client-service orientated and proactively look for ways… more