- Wolters Kluwer (Tampa, FL)
- …a dotted line reporting relationship to the Executive VP and General Manager of the Compliance Solutions business unit (Compliance Solutions). The Legal Director ... in New York, NY (or another location, including partially remote , on Eastern Standard Time or Central Time, in...primary legal support to the Executive VP and General Manager of Compliance Solutions and will be a member… more
- CHA Consulting, Inc. (Doral, FL)
- …and client audit activities + Prepare accurate draft invoices aligned with contract terms, secure project manager approvals, and finalize timely submissions ... to Sector Finance leadership to support project performance + Verify contract and change order characteristics and monitor compliance with contractual commitments… more
- Terracon (Winter Park, FL)
- …project status/milestones, project billing, budgets, and timelines/ schedules to ensure contract requirements and management policies are being followed. + Partner ... project team to review project billing activity to ensure compliance with contract requirements and management policies. + Track and route documents into internal… more
- RxBenefits (Jacksonville, FL)
- …correct and released. Job Responsibilities Include: + Operate as the central project manager for the business on new opportunity prospects, playing a pivotal role in ... utilization. + Be the SME on dozens of medical vendor/PBM contracts including utilization rules, B/G classification, discount applicability, rebate/fee credit… more
- CDM Smith (Tallahassee, FL)
- … work environment. * Prepares client invoices for assigned group of contracts , including reconciling to control reports, verifying contract terms, collating ... invoice documentation. * Performs account collection activities on outstanding contract receivables, including monitoring accounts receivable aging, contacting client… more
- Humana (Miramar, FL)
- …verification of benefits coverage and eligibility for services per Health Plan contract . Review referral data matching it against specified medical terms and ... working knowledge of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts . Understand Medicare/Medicaid criteria and Health Plan policies to ensure the… more
- Danaher Corporation (Orlando, FL)
- …Field Service Team and report to the Regional Field Service Manager responsible for troubleshooting, installation, preventative maintenance, and service repair ... FDA, and Leica policies. + Actively support the sale of service contracts , assist sales representatives & service team members with system configurations/upgrades,… more
- Humana (Tallahassee, FL)
- …etc) utilized in Medicaid reimbursement Reviewing Medicaid RFPs and state contracts to identify provider reimbursement requirements Supporting implementation of new ... EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat...Intermediate Microsoft Access skills **Additional Information** This role is " remote /work at home" and can be based anywhere in… more
- Zurich NA (Maitland, FL)
- …and litigation management skills. This position can be office, hybrid, or fully remote anywhere in the lower 48 states. **Claims Handling & Investigation:** + Manage ... + Conduct thorough investigations by collecting relevant documentation (eg, contracts , recorded statements, expert reports) to assess coverage, liability, and… more
- St. George Tanaq Corporation (Tallahassee, FL)
- Environmental Compliance Specialist Fully Remote Job Type Full-time Description **Overview** Tanaq Environmental, LLC. (TEL) delivers environmental engineering, ... these requirements. This role focuses on projects with federal contracts , requiring a strong understanding of relevant laws such...reports, and interacting with regulatory agencies. This is a remote work role that can be based anywhere in… more