- Molina Healthcare (Tampa, FL)
- …business and other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business stakeholders ... **Required Experience** 7-9 years Application Design, Development Experience and, Management , Healthcare Industry **Preferred Experience** 10+ years, Healthcare Industry… more
- IKO (Jacksonville, FL)
- …compensation cases. Acts as facility safety contact for work comp claims questions, interfaces with insurance adjusters, medical professionals and injured workers. ... safety, machine / equipment safety etc. + The ability to chair management /employee meetings and presentations. + Above average communication skills to enable the… more
- CVS Health (Tallahassee, FL)
- …advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- MyFlorida (Largo, FL)
- …recruiting, billing, or collecting accounts, checking credit, processing insurance policies or claims or providing customer service. + OR an Associate degree or ... higher from an accredited college or university can substitute for the experience. + OR 60 semester hours or 90 quarter hours can substitute for the experience. Plus, minimum of two years of case processing experience in the Economic Self-Sufficiency Program… more
- Humana (Tallahassee, FL)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals… more
- Universal Engineering Sciences (Jacksonville, FL)
- …and analysis of residential, commercial and industrial properties to resolve claims and legal matters. * Conducts forensic engineering investigations of buildings ... (PE) license required * Demonstrated expertise in engineering design, project management , and client interaction. * Proficiency in technical software and tools… more
- Marriott (Kissimmee, FL)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** Manages the daily functions of the ... * Oversees first aid program for guests and employees. * Oversees the claims process and protects company assets by closely monitoring the General Liability and… more
- Monte Nido (Miami, FL)
- …with our client's insurance most successfully. + Communicate with billing regarding billing/ claims issues and status of single case agreements as needed. + ... + Communicate emerging trends with insurance companies to Director of Utilization Management . + Maintain database of insurance company clinical care guidelines, APA… more
- MyFlorida (Margate, FL)
- …Affairs has also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The Department of Business ... and Professional Regulation will only hire U. S. citizens and lawfully authorized alien workers. Our agency participates in the E-Verify System which is a federal government electronic database available for employers to use to verify the identity and… more
- AssistRx (Orlando, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... management Requirements + In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage. + 2 to 5 years of benefit investigation… more