- Humana (Tallahassee, FL)
- …Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience ... community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent and abusive… more
- Sarasota County Government (Sarasota, FL)
- …programs for the County. + Direct and supervise all phases of the claims process from intake and investigation through litigation, settlement and/or trial. ... Grow Here. Stay Here. Are you an experienced Risk Manager ready to collaborate and provide strategic oversight in...response activities related to disaster management. Serves as Safety Claims /Risk Unit in the Emergency Operations Center,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- The Senior Manager , Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... capabilities. + Collaborate closely with business stakeholders, Health Experience operations , and cross-functional teams to define technical requirements, deliver… more
- NextEra Energy (North Palm Beach, FL)
- …+ Identify, assess, and prioritize operational risks inherent in insurance operations , including underwriting, claims processing, operations , finance, ... **Operational Risk Manager - Palms** **Date:** Aug 8, 2025 **Location(s):**...assessing, monitoring, and mitigating operational risks specific to insurance operations . They will work closely with various departments to… more
- MyFlorida (Tampa, FL)
- MAINTENANCE PROJECT MANAGER II - 55012417 Date: Aug 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 858176 Agency: Department of Transportation Working Title: MAINTENANCE PROJECT MANAGER II - 55012417 Pay Plan: Career Service Position Number: 55012417… more
- Zelis (St. Petersburg, FL)
- …gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is ... and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the...met. What you'll do: + Oversee the DRG validation process including management of claim assignment and queues, adherence… more
- Legacy Parking Company (Miami, FL)
- Assistant Facility Manager Job Details Job Location Southeast Financial Center - Miami, FL Salary Range $45000.00 - $48000.00 Salary Description Legacy Parking is a ... Company that is looking to add an Assistant Facility Manager in our Miami market. The Assistant Facility ...collect and post payments to appropriate GL accounts. + Process invoices. + Implement all policies and procedures to… more
- Molina Healthcare (St. Petersburg, FL)
- …outcomes and benefit realization + Demonstrates deep understanding of Core Operations , Claims and Enrollment processes, deliverables, vendor partners and ... responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of… more
- Walgreens (Holly Hill, FL)
- …we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and answers questions regarding usage of ... controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith… more
- Burns & McDonnell (Melbourne, FL)
- …the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day operations from pre-construction through project completion ... and warranty periods. The Construction Project Manager is responsible for managing the construction project safety,...subcontracts, and change orders. + Participate in risk review process . + Implement assigned sections of the Project Execution… more