- Sedgwick (Orlando, FL)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- Sedgwick (Tallahassee, FL)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- Sedgwick (Tampa, FL)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- Iron Mountain (Tallahassee, FL)
- …and regional counsel, IP claims , and licensing, as well as IP portfolio management and other IP work.** + **Thrive in a fast-paced environment and enjoy working ... We provide expert, sustainable solutions in records and information management , digital transformation services, data centers, asset lifecycle management… more
- Defense Contract Management Agency (Perry, FL)
- …provisions of contracts by designing, implementing, and maintaining a risk -based surveillance program and assessment plan. Identifies opportunities for process ... study must be in quality assurance, statistics, mathematics, production management , industrial management , computer science, engineering, engineering technology,… more
- Centene Corporation (Tallahassee, FL)
- …ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk adjustment for government sponsored ... of experience in healthcare analytics, large databases, data verification, data management , table creation and indexing, query optimization, utilization of stored… more
- Molina Healthcare (Jacksonville, FL)
- …laws and regulations, which will protect the Business from liability and potential risk . Ensures that the Business understands and complies with applicable laws and ... building regulatory compliance audit procedures. * At the direction of management , coordinates and performs oversight audits and validation activities to ensure… more
- Evolent (Tallahassee, FL)
- …system processing in detail + provide summary information to stakeholders & management answering business questions + create & maintain queries supporting precise ... test execution + Consult with the manage and report risk , issues, and decisions with the lead / manager...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Molina Healthcare (St. Petersburg, FL)
- …practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, ... regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management … more
- Burns & McDonnell (Melbourne, FL)
- …contract administration including request for information (RFI's), submittals, change management , contract closeout, documentation, and claims mitigation. + ... control, contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, client relations/ management , field staff and other duties required to execute… more