- Raymond James Financial, Inc. (St. Petersburg, FL)
- …and administering personal trusts. This includes the use of trust accounting and management software as well as word processing and spreadsheet programs. . Assist ... records for annuity contracts and life insurance held in Trust. . Files death claims on annuity, life and pension contracts as necessary. . Secures and confirms… more
- Molina Healthcare (Miami, FL)
- …Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. *… more
- MyFlorida (Orlando, FL)
- …but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable ... state law pertaining to fraud in the administration of the Medicaid program, investigate allege abuse or neglect of patients, investigate the alleged misappropriation of patients private funds in health care facilities, and safeguarding the privacy rights of… more
- Defense Logistics Agency (Jacksonville, FL)
- …Assesses system shutdowns/software defects and coordinates with IT management to recommend replacement/modification/other action and safeguard existing systems ... You MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: Unofficial transcripts are acceptable at time of… more
- CVS Health (Tallahassee, FL)
- …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- AssistRx (Maitland, 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 + Act as a liaison for field representatives, health care providers and patients Requirements + In-depth understanding and experience with Major Medical &… more
- CVS Health (Tallahassee, FL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- Evolent (Tallahassee, FL)
- …software/data engineering, with a focus on healthcare data. Previous leadership or management experience is preferred. + 3+ years of experience in designing ... as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing… more
- Deloitte (Tallahassee, FL)
- …+ Prepare self-insured financial projections and support health plan management , including financial reporting, premium rate setting, and employee contributions. ... by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. +… more
- NextEra Energy (Juno Beach, FL)
- …notices and correspondence from taxing authorities. + Maintain exemption certificate management system and prepare certificates as needed. + Support audit activities ... * Researches inquiries from government agencies regarding filings, compliance, and other claims * Prepares tax calculations to support tax controversy analyses *… more