- The Cigna Group (Tampa, FL)
- …to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member of the Provider ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- NextEra Energy (Juno Beach, FL)
- **Tax Manager ** **Date:** Aug 7, 2025 **Location(s):** Juno Beach, FL, US, 33408 **Company:** NextEra Energy **Requisition ID:** 88232 NextEra Energy Resources is ... from government agencies regarding tax filings, compliance and other claims + Partner with the Tax Forecasting team to...management and internal stakeholders, including the broader finance business unit + Be able to analyze large and complex… more
- MyFlorida (Tallahassee, FL)
- … Unit . * In collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies based upon ... join the Division of State Group Insurance, Program Integrity Unit as a Health Insurance Fraud Analyst II and...implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile… more
- CDM Smith (Orlando, FL)
- **42205BR** **Requisition ID:** 42205BR **Business Unit :** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster ... fraud claims . This role is critical in evaluating and analyzing...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Elevance Health (Tampa, FL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual… more
- Elevance Health (Tampa, FL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual… more
- ChenMed (Miami, FL)
- …enterprise. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and ... and execution of actions to improve those results). + Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership + Develops a deep… more
- University of Miami (Miami, FL)
- …Responds to customer inquiries regarding insurance coverage for services and processing of claims . + Adheres to University and unit -level policies and procedures ... verify insurance information. + Obtains authorization for HMO patients. + Verifies claims are mailed to the proper address. + Contacts physicians, insurance… more
- Elevance Health (Tampa, FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new...aid in investigations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual… more
- Duke Energy (Lake Buena Vista, FL)
- …to coordinate field changes, extra work authorizations, material request, etc. with Project Manager + Knowledgeable of labor contracts and able to analyze and adjust ... daily in reaction to emergent work (storms, escalated customer issues, customer claims , outages) and daily crew unavailability + Validates material requirements for… more