- University of Miami (Miami, FL)
- …related to information technology systems, attends and participates in continuing professional education courses and programs. + Functions as an independent project ... lead or provides oversight for project manager and/or business...or a related field. Master's degree is desirable + Coding Certification (eg CPC, CCS, CIC, CMC) from an… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …the Drug Utilization Management Program. This includes weekly new drug reviews and coding to be submitted to the Pharmacy Benefit Manager, New Contract Year ... and rebate strategy evaluation. The Clinical Pharmacist is the lead for the review and presentation of New Drug...Monographs for New Drug Entity Reviews + Development of Education Material for Providers + Member Medication Reviews for… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …alongside Education and Career Development Manager and Finance Director. Lead and support Vocational Rehabilitation Public Ally in overall job duties alongside ... Education and Career Development Manager. Guarantee data collection and...and clear understanding of invoicing, monthly outcome tracking and coding . SPECIAL CONDITIONS: Thorough Background Screening upon hire including… more
- Elevance Health (Tampa, FL)
- …test claims, analyzing results, identifying and resolving client intent or benefit coding issues, proposing solutions and directing the implementation of changes. + ... years internal claims processing (adjustments) experience; or any combination of education and experience, which would provide an equivalent background. **Preferred… more
- HCA Healthcare (Tallahassee, FL)
- …rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) ... Policy and Procedures + Provides training, technical support and/or in-service education to pharmacy staff regarding pharmacy inventory management products/systems +… 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
- 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
- SitusAMC (Tallahassee, FL)
- …and/or components for market sale or proprietary software + Serve as lead and technical expert on development projects, participate in full development life ... degree in computer science/engineering, information systems preferred or equivalent combination of education and experience + Minimum of 12+ years of industry and/or… 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
- Sedgwick (Orlando, FL)
- …and assemble facts from an insurance perspective. + Documents claims files and properly coding claim activity. + Partners with claim lead to observe claim ... + Performs other duties as assigned. + Travels as required. **QUALIFICATIONS** ** Education & Licensing** High school diploma or GED required. **Experience** Two (2)… more