- Molina Healthcare (Jacksonville, FL)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- Humana (Tallahassee, FL)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience...be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of… more
- USAA (Tampa, FL)
- …analyze data. **What sets you apart:** + Broad experience and expertise in Claims Investigations to include enabling new or enhanced capabilities. + Familiarity with ... Auto Claims Telematics and application to Investigations + Experience working...experience through military service or a military spouse/domestic partner ** Compensation range:** The salary range for this position is:… more
- UIC Government Services and the Bowhead Family of Companies (Pensacola, FL)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Humana (Tampa, FL)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... Enrollment Period (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly lead a… more
- MyFlorida (Tallahassee, FL)
- …64080602 Salary: $53,917.08 Posting Closing Date: 08/25/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Department of Health Division ... patterns to include statutory requirements for emergency investigation of 3 malpractice claims in 5-years (Chapters 458, 459 and 466, FS); possible emergency… more
- Humana (Tallahassee, FL)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes...be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of… more
- Humana (Tallahassee, FL)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of… more
- MyFlorida (Ocoee, FL)
- …$85,000.00 - $100,000.00 Posting Closing Date: 09/01/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) STATE OF FLORIDA DEPARTMENT OF ... the State of Florida is more than a paycheck. The State's total compensation package for employees features a highly competitive set of employee benefits including:… more
- MyFlorida (Fort Lauderdale, FL)
- …$85,000.00 - $95,000.00 Posting Closing Date: 09/02/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) STATE OF FLORIDA DEPARTMENT OF ... documents. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. Responsible for thoroughly researching all… more