- Elevance Health (FL)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- CDM Smith (Boca Raton, FL)
- …assigned activities including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- MyFlorida (Miami, FL)
- …but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable ... accreditation process and timely cooperation with requests from the MFCU Accreditation Manager and members of the Accreditation Team. This is independent work… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …+ CMS Daily and Monthly Reconciliation queues + Daily and Monthly Pharmacy Benefit Manager (PBM) + Monthly MMR, PWR, LIS History and LEP Reconciliation + Daily ... + Minimum 2 years Health Plan Operations experience including; Enrollment (preferred), Claims processing or Customer Service. + Working knowledge of MSOffice (Word,… more
- Insight Global (Miami, FL)
- …all the safety and client standards, conducting safety inspections, observations, claims , investigations, and regulatory compliance for OSHA, DOT, and EPA. This ... across various departments. Responsibilities: 1. Availability to participate with Project Manager and Client to a preliminary walk through of the construction… more
- Elevance Health (FL)
- …models. + Responsible for recommendations on pricing, marketing, product design, claims , premium and enrollment administration of business unit. + Responsible for ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- AECOM (Jacksonville, FL)
- …+ Assist in the preparation of contract documents, change orders, and claims analysis + Contribute to continuous improvement initiatives within the department and ... Advanced MOT + CTQP Final Estimates Level II + CTQP Quality Control Manager **Additional Information** + Relocation assistance is not available for this position +… more
- National Express (Jacksonville, FL)
- …Shares concerns about suspicious or inappropriate behavior with their supervisor or manager . + Other duties as assigned Company name is: Durham School Services ... events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills… more
- Citigroup (Jacksonville, FL)
- …placing unsolicited securities trades (Series 7 & 63 required). + Ensures customer claims and complaints are handled in accordance with FINRA and firm policy. + ... + Capable of working independently within established procedures and make decisions without manager approval. + Able to perform multiple functions with a high degree… more
- HCA Healthcare (Trinity, FL)
- …members on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. .You will ensure responsibility for organizational ... licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare Risk Management (FL… more