- The Cigna Group (Sunrise, FL)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... the office or visit Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and reports to… more
- Molina Healthcare (FL)
- …with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Provides analytical, problem ... formal training in Business Analysis and/or Systems Analysis + 1-3 years of Claims or Adjustment experience in Medicare and/or Medicaid + Familiarity with QNXT,… more
- Robert Half Finance & Accounting (Opa Locka, FL)
- …and service technicians with parts compatibility and availability . Support warranty claims and product issues . Maintain and update product/parts information in ERP ... . Process payments for non-warranty items or non-term accounts . Collaborate with Operations Manager to manage stock levels . Manage US Parts Distributors network… more
- MUFG (Tampa, FL)
- …/Money Market inquiries as well as cases requiring compensation payments and/or claims in accordance with established regulations. Ensuring all cases are verified in ... **Education:** + Higher education preferred with banking and financial background. Operations back-office industry experience required. The typical base pay range… more
- Percepta (Melbourne, FL)
- …to determine if claim meetspolicy guidelines. o If all policy guidelines are met, the Claims Analyst is responsible for paying the claim to the dealer. o If ... satisfaction of being part of a unique culture. The claims payment analyst is responsible for the...program guidelines * Provide backup support to Prior Approval operations when needed * Identify process improvements and best… more
- Zelis (St. Petersburg, FL)
- …that shape who you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility and provider disputes as ... will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence...CMO and members of Expert Claim Review Product and Operations teams regarding critical issues and trends. + Ensure… more
- MyFlorida (Tallahassee, FL)
- …position is responsible for providing consultive services to the Senior Management Analyst Supervisor. This position works in the Federal Reporting and Focused ... Waivers. Prepare data and perform analysis necessary to support Medicaid operations and Medicaid expenditures for quarterly CMS 64 Expenditures reporting, CMS… more