- Norstella (Tallahassee, FL)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
- Norstella (Tallahassee, FL)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... and analyze data from large relational databases, ensuring data accuracy and quality . *Perform in-depth analyses on healthcare data sources, including claims ,… more
- BrightSpring Health Services (Fort Lauderdale, FL)
- …other specialized care centers nationwide. If your passion is service excellence and top- quality care come join our team and apply today! Responsibilities + Triage, ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides… more
- Jacobs (Fort Lauderdale, FL)
- …documents, schedules, and deliverables. * Review various project deliverables (eg, Quality Control Manual, NCR responses) to identify and mitigate risks. * ... disputes with prime contractors and subconsultants. * Proactively manage claims and risks, initiate claims , dispute resolution,...* Proactively manage claims and risks, initiate claims , dispute resolution, and respond to claims … more
- Humana (Tallahassee, FL)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Prime Therapeutics (Tallahassee, FL)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Orlando Utilities Commission (Orlando, FL)
- …enrollments, terminations, changes, beneficiaries, disability, accident and death claims , rollovers, distributions, loans, hardships and compliance testing. + ... Assist in reviewing routine claims and auditing employee contributions and related payroll deductions;...improve the use of technology, reduce redundancies and improve quality , accuracy, and timeliness of information processing. + Stay… more
- AIG (Miami, FL)
- …are established and maintained for the Energy division. + Work with Claims , Finance, Operational, Accounting, Legal, and Actuarial support teams to support portfolio ... to monitoring of submission flow by distribution channels and analysis of losses/ claims behaviors, among others. + Support in the preparation of presentations to… more
- Molina Healthcare (FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation… more
- Prime Therapeutics (Tallahassee, FL)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more