- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Director , Initial Claims supports providers, members, and collection services in the processing ... of claims associates adjudicating claims , along with researching and resolving claims inquiries. The Director , Initial Claims has oversight of and… more
- USAA (Tampa, FL)
- …. Relocation assistance **is** available for this position. **Architect the Future of Claims with Scalable AI and Advanced Analytics-In Service of Those Who Serve** ... & Casualty is seeking a strategic and technically skilled Director of Data Science to lead innovation for the... of Data Science to lead innovation for the Claims organization. This high-impact role goes beyond analytics-your work… more
- Molina Healthcare (Jacksonville, FL)
- …processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management , and other business ... claims , COB and DRG/RCC pricing), and IPA. + 2 years supervisory/ management experience with appeals/grievance and/or claims processing within a managed care… more
- USAA (Tampa, FL)
- …dedicated Director Business Process Ownership - Advanced Capabilities - Claims Optimization. This role is remote eligible, however, individuals residing within a ... and development of business rules, gathering of requirements, artifacts and process management . Guides team members in the ownership of assigned processed to… more
- USAA (Tampa, FL)
- …development and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information ... Management , Information Governance, Information Delivery Analytics & Insights Delivery,...and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the… more
- Zurich NA (Tallahassee, FL)
- …+ Ensure regular communication with clients, brokers, business units, and senior claims management . + Proactively manage and resolve high-severity injury ... Sr. Claims Specialist - Complex Construction 126105 Zurich North...coverage analysis, and negotiation + Strong organizational and time management abilities + Exceptional verbal and written communication skills… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** The **Risk Management Director ** is responsible for the strategic oversight and execution of the company's insurance and risk management ... stakeholders, third-party administrators, brokers, and insurers to ensure effective claims management , litigation, risk financing, and compliance.… more
- Community Health Systems (Naples, FL)
- The **System Director of Risk Management ** is a key leader responsible for overseeing risk management , patient safety, and regulatory compliance across ... collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management ** + Oversee legal...standards in patient safety and quality care The **System Director of Risk Management ** is a vital… more
- Wounded Warrior Project (Jacksonville, FL)
- …veterans' benefits or advocacy. + Three years of experience utilizing VA claims technologies (eg, Veterans Benefits Management System, Caseflow, Direct Upload) ... started, we're ready for you. The Wounded Warrior Project (WWP) National Service Director leads and develops a team of benefits professionals who support warriors,… more
- HCA Healthcare (Palm Harbor, FL)
- …coding. + Report and manage IET's and Claims on Hold, Encounters without Claims in conjunction with Practice management . + Regularly review A/R data and ... HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Director of Revenue with HCA Healthcare you can be a part of an… more