- Centene Corporation (Tallahassee, FL)
- …US. **Position Purpose:** Utilizes business expertise to facilitate, lead and drive complex large scale work efforts across domains and/or large scale cross ... end), vendor management, technology and scalability. + Support strategy for complex business transformational priority + Provide directional oversight for execution… more
- Kyndryl (Tallahassee, FL)
- …a key leadership role across multi-disciplinary teams, guiding them through complex consulting engagements and be responsible for creating and positioning strategic ... Kyndryl's largest accounts across the C-suite, spanning the intersection between complex Business and IT customer solutions, transformations that impact across the… more
- Centene Corporation (Tallahassee, FL)
- …US. **Position Purpose:** Utilizes business expertise to facilitate, lead and drive complex large scale work efforts across domains and/or large scale cross ... business needs. + **Design and maintain** attribution models based on claims data, member selection, contractual arrangements, and regulatory requirements. +… more
- AdventHealth (Maitland, FL)
- …sources using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on ... sources using knowledge of healthcare managed care contracts and healthcare administrative claims data + Reviews existing complex models and implements them… more
- Kemper (Lake Mary, FL)
- …Litigation Adjuster will investigate, evaluate and handle to conclusion attorney represented injury claims , complex injury claims , and litigated claims . ... and demonstrated high quality results. **Position Responsibilities:** + Successfully handle any complex coverage or liability claims investigation. + Evaluate … more
- MyFlorida (Tallahassee, FL)
- …be given to candidates with: + Experience in Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience ... working groups. Reports to a designated Lead Attorney or the Division Director regarding the results investigations and make recommendations regarding enforcement or… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. +… more
- Polk County Public Schools (Bartow, FL)
- …and risk management administration. This position gathers information, reviews claims , communicates and coordinates information to third-party administrators (TPA), ... Expedites all legal requests, subpoenas, and correspondence. * Advises manager or director of all risk management issues through memos, reports, and correspondence.… more
- Stantec (Orlando, FL)
- …with Earned Value management and forecasting. - Experience with scheduling large, complex projects. - Experience with claims management for design projects. ... - airports, transit and rail, ports and marine, highway and bridge, including complex bridges, interchanges, and managed toll projects. Join our Major Projects Team… more
- Evolent (Tallahassee, FL)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more