- Walmart (Macclenny, FL)
- …and policies Lists common tasks and activities performed by operations functions and subfunctions Partnership Collaboration Possesses knowledge of Stakeholder ... records work with workers compensation case managers for investigation of claims Asset Protection Security Possesses knowledge of Asset protection policies practices… more
- Bridgestone Americas (FL)
- …process of new stores and special projects from inception to operations turnover. Also responsible for technical construction negotiations with developers, ... of new store projects to the Store Opening and Operations teams, ensuring a smooth transition from construction to...as needed with first year warranty or latent defect claims and repairs. + Responsible for financial and document… more
- Molina Healthcare (St. Petersburg, FL)
- …highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for...operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- Centene Corporation (New Port Richey, FL)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . Project ... management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health… more
- BrightSpring Health Services (Lake City, FL)
- Our Company ResCare Community Living Overview Operations Management focuses on efficiently meeting the needs of our clients across various lines of business. If your ... timely reporting of all service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets + Trains staff on… more
- Walmart (Lakeland, FL)
- …Manage processing of shipload purchase orders inboundoutbound containerstrailers and claims my monitoring all activities conducting problems research and ensuring ... coaching teaching and evaluation of associates and leaders Facilitate carrier operations by processing and monitoring carrier activity working with carriers and… more
- CDM Smith (Orlando, FL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...of the disaster on the applicant's assets, inventory, and operations . * Expert Testimony and Litigation Support: In cases… more
- HCA Healthcare (Palm Harbor, FL)
- …and Qualifications** Serves as the central point of contact for revenue cycle operations in the PHY Division for our Parallon business partners. Directs and ... company reimbursement analysis. The objective of this position is to streamline operations and improve revenue cycle metrics through detailed analysis and process… more
- Molina Healthcare (St. Petersburg, FL)
- …with Customer/Member services, Provider Services, Sales, Enrollment, UM, Case Management, Claims , and other departments within Molina Medicare and Medicaid regarding ... A&G operations and dependencies. * Responsible for the A&G department...experience **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including… more
- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- …an upcoming/potential effort, toprovide oversight, direction, and coordination in support of operations for the Primary Training Ranges (PTRs) managed by ACC at Avon ... + Primary responsibility for matters of range safety during aircraft operations , aircraft emergencies, and ground weapons fire activities during active events… more