- Humana (Tallahassee, FL)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new… more
- Humana (Tallahassee, FL)
- …Typical business hours are Monday-Friday, 8 hours/day, 5 days/week in the associate 's home time zone. **Required Qualifications** * Bachelor's Degree * A minimum ... Chart Review/Insurance Billing) or Internal/External Audit or Regulatory/Compliance OR Claims Investigations or Criminal Investigation/White Collar Crime); interacting with… more
- Humana (Tallahassee, FL)
- …your skills to make an impact** **Required Qualifications** + 5+ years of claims operations related experience + Experience with analyzing, reconciling and ... The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments… more
- Walgreens (Hollywood, FL)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Sedgwick (Orlando, FL)
- …Join a fast-paced, customer-focused team supporting one of the most innovative insurance operations in the industry. As an Inbound Customer Service Agent - Auto ... quickly to change **Education & Licensing** HS diploma or GED required. Associate degree from an accredited college or university preferred. Active property &… more
- Humana (Tallahassee, FL)
- …billing. + Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. + Requires ... complete and accurate. + Certified Professional Coder or coding knowledge. + Claims knowledge and understanding of claims processing. **Additional Information**… more
- LCEC (North Fort Myers, FL)
- …liability, workers' compensation, cyber, and auto coverage. Oversee insurance renewals, claims processing, broker relationships, and cost analysis + Manage the ... and LCEC employees at all levels and departments. Ensure smooth operations , productive communications, and effective understanding during all interpersonal contacts.… more
- Highmark Health (Tallahassee, FL)
- …other analytical responsibilities. The incumbent conducts oversight of Commercial Operations Account installation processes, ensuring accurate and timely processes ... and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as… more
- Walmart (St. Petersburg, FL)
- …to management. Supports the Sam's Club ecommerce plan in the club by overseeing operations of the ecommerce programs (for example, Club Pick Up, Ship From Club, ... the ecommerce programs by training and providing resources to meet store associate needs; assigning duties; providing feedback; communicating goals; and ensuring … more
- Avenue5 Residential, LLC (Celebration, FL)
- …site natural disaster and emergency evacuation plans + Manage the property and associate safety records, property loss claims , and risk management initiatives + ... property manager position: The property manager is responsible for the overall operations of the property. This includes ensuring efficient operations ,… more