- Jacobs (Fort Lauderdale, FL)
- …* Aligned PM Performance * Operational governance, process adherence and quality * Claims against the company * New sales opportunities KEY ROLES & RESPONSIBILITIES ... service and solutions to Clients * Keeps Global and Regional Management and Director (s) of Programs informed of and engaged in critical project issues and… more
- Cognizant (Tallahassee, FL)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare,… more
- HCA Healthcare (Tampa, FL)
- …Specialist who will assist Shared Service Center (SSC) Senior Counsel or Collections Director and Executive Management to develop work plans and organize and manage ... format for obtaining third-party liability information for liens and workers compensation claims + Consolidate claims for insurance carriers in receivership or… more
- AdventHealth (Orlando, FL)
- …PA role is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation ... and reporting. Reviews and makes recommendations on appealed provider claims . Provides support, shares administrative call, and maintains collaborative relations… more
- Sarasota County Government (Sarasota, FL)
- …North County Program Director and provide coverage for judges during small claims pre-trials, along with other duties as assigned. About the Schedule Work Hours: ... with parties to encourage voluntary participation in mediation. + Facilitate small claims court proceedings and assign volunteers to mediate cases. + Schedule,… more
- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- …Enlisted Terminal Attack Controller (ETAC) or Air Traffic Controller (ATC), Weapons Director , a previous range control officer or equivalent test experience. + ... 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… more
- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- To support the Director of Member Services in providing a single point of contact for questions, problem solving, and access to care, for all involved in members' ... and type of assistance the caller needs such as benefits, eligibility and claims , and correspondence. + Complete Outbound Enrollment Verification (OEV) calls to new… more
- MyFlorida (Tallahassee, FL)
- …Estimator Tool (https://compcalculator.myflorida.com/) DIVISION OF PROFESSIONS (DIVISION DIRECTOR 'S OFFICE) Government Analyst I Position Number: 79001505 ... for the division, and completing special projects for the Director 's Office and board offices as needed. Your Specific...also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The… more
- J&J Family of Companies (Fort Lauderdale, FL)
- …product and brand strategy training targets - including approved product attribute/ claims understanding, awareness of competitive products, as well as related ... trade-off decisions across customers and representatives. Works with Regional Sales Director when appropriate to make trade-offs within a larger geography. +… more
- MyFlorida (Tallahassee, FL)
- …and enforces cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as needed civil complex ... working groups. Reports to a designated Lead Attorney or the Division Director regarding the results investigations and make recommendations regarding enforcement or… more