- Molina Healthcare (Miami, FL)
- …and claims systems and application of business rules as they apply to each database . Validate data to be housed on databases and ensure adherence to business and ... system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. +… more
- Molina Healthcare (Miami, FL)
- …multiple claims systems and application of business rules as they apply to each database . Validate data to be housed on provider databases and ensure adherence to ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality and financial accuracy and provides documented feedback. + Assists in… more
- NBC Universal (Orlando, FL)
- …upgrades, enhancements, and/or new implementations before they go to the production database to ensure everything is working properly + Resolve tickets coming into ... the payroll queue from AskHR timely + Ensure that all final pay state terminations are processed in accordance with state rules + Proactively communicate and collaborate with process partners and/or other points of escalation to provide research and… more
- NBC Universal (Orlando, FL)
- …upgrades, enhancements, and/or new implementations before they go to the production database to ensure everything is working properly. + Resolve tickets coming into ... the payroll queue from AskHR timely. + Research and manage all cases sent to Payroll Operations. + Ensure that all final pay state terminations are processed in accordance with state rules. + Proactively communicate and collaborate with process partners and/or… more
- CVS Health (Tallahassee, FL)
- …Knowledge of CPT/HCPCS/ICD coding *Proficiency in Word, Excel, MS Outlook products, Database search tools, and use in the Intranet/Internet to research information. ... * Strong communication and customer service skills. * Ability to effectively interact with different groups of people at different levels in any situation. * Strong analytical and research skills using health care data. * Proficient in researching information… more
- Molina Healthcare (Miami, FL)
- …multiple claims systems and application of business rules as they apply to each database . Validate data to be housed on provider databases and ensure adherence to ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Receives information from outside party(ies) for update of information in computer system(s). Analyzes by… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …review and modify contracts as necessary. + Oversee and maintain the license database for license renewals. + Review alternative lease options or cancelations on ... hardware or software, where available, with corporate customers when renewals are required. + Maintain contract management system ensuring proactive management, review, and administration of contract renewals, etc. ensuring cost containment and controls year… more
- MUFG (Tampa, FL)
- …system closes or department's job processes finish, normally at 7:30 PM). 2) Database Maintenance, when required, update Pre Advice limits on GPP accounts in ... accordance with requests from the various business units, Monthly Buffer Asset-FED Caps update on GPP and HotScan Lists Load Updates (if occasion arises. 3) Completing in a timely and accurate manner all TSU/RMU IntelliTRACS Cases. 4) Management Reporting… more
- Lincoln Financial (Tallahassee, FL)
- …not limited to): cybersecurity, hardware, networking, firewalls, servers, database management systems, operating systems, disaster recovery, incident management, ... vulnerability management, risk assessment, IT governance, and system development + Knowledge of internal controls, business / information technology risk, regulatory and compliance frameworks (ITIL, NIST, COBIT, NY DFS, SEC, PCI DSS etc.), project management,… more
- Huntington Ingalls Industries (Panama City, FL)
- …an aptitude for learning other analytics tools. + Excellent experience with database and model design + Experience with creating MDX Expressions, DAX Expressions, ... Power BI Power Pivot, Power integrated with Share Point and in creating dashboards in Power BI. + Previously supported and worked within the Navy Marine Corps Intranet (NMCI) + Familiar with Athletic Management Systems Physical Requirements + Job performance… more
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