- Elevance Health (Miami, FL)
- …accuracy by verifying various aspects of the claim including eligibility, system coding and pricing, pre-authorization, and medical necessity. + Contacts others to ... years of claims processing experience; or any combination of education and experience which would provide an equivalent background....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Tampa, FL)
- …a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, ... Capabilities, and Experiences:** + Coding Certificate or Registered Nurse strongly preferred + Law...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Tampa, FL)
- …claims. **How you will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data ... and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background. **Preferred… more
- Kemper (Jacksonville, FL)
- …and that defects are resolved in an accurate and timely fashion. + Lead team in successful completion of phase gates for projects. **Position Qualifications:** + ... Experience with cloud development practices. + Advanced certifications for coding /development. Current Guidewire Certified Ace preferred. + Demonstrates advanced… more
- Elevance Health (Miami, FL)
- …claims adjudication for accuracy. + Prepares correspondence to providers regarding coding and fee schedule updates. **Minimum Requirements:** Requires a BA/BS degree ... of 2 years related experience; or any combination of education and experience, which would provide an equivalent background....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …life cycle (based on experience/skills) and is responsible for designing, coding , testing, implementing, maintaining and supporting application software that is ... code or to reuse of existing code. * May lead assigned projects, including assigning tasks, coordinating efforts, and...focus of actions; develop and sustain productive client relationships. ** Education / Previous Experience** * Minimum of a BS in… more
- SitusAMC (Tallahassee, FL)
- …execution of fundings, margin calls, servicing updates and loan settlements + Lead the process of providing direct operational support to external clients and ... four-year College or technical school or equivalent combination of education and experience + Entry level professional with 0-2...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- CVS Health (Jacksonville, FL)
- …medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network providers and facilities to ... predetermination reviews ad reviews of claim determinations, providing clinical, coding , and reimbursement expertise, using multiple computer based applications.… more
- Leidos (Tampa, FL)
- …databases such as MariaDB to include installation, optimization, indexing and coding . + Assist with the configuration and maintenance of ServiceNow Strategic ... risks, and opportunities. **Additional Responsibilities:** + Work with the CSI Lead and evaluate impacts of recommended initiatives and projects and drive… more
- NBC Universal (Orlando, FL)
- …+ AI solutions, ensuring alignment with enterprise standards. Technology Delivery + Lead the design, development, and deployment of AI solutions-from concept to ... team member involvement activities. + Performs other duties as assigned. EDUCATION : + Bachelor's degree in Computer Science, Data Science, Mathematics, Statistics,… more