- CVS Health (Tallahassee, FL)
- …every day. This position is classified as remote **Position Summary** The Lead Director Financial Reporting & Analytics will report directly to the Chief Financial ... collaboration and drive impact. Lead the coordination of complex financial and claims analytics to determine the impact and support local market decisions. Position… more
- Evolent (Tallahassee, FL)
- …of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of ... diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorisation data… more
- Ankura (FL)
- …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells,...that generate $3 - $5 million+ annually + Project management , development of expert testimony and reports, and quantitative… more
- Ankura (FL)
- …and serve as the primary testifying expert on high-profile construction disputes, claims , and litigation matters, focusing on design and construction defect analysis ... Requirements: + Bachelor's degree in Mechanical Engineering, Architecture, Construction Management , or a related field from an accredited institution. Advanced… more
- Molina Healthcare (Jacksonville, FL)
- …health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure ... care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization. *… more
- Kyndryl (Tallahassee, FL)
- …oversight of delivery, ensuring high performance and customer satisfaction **Leadership, Management , People:** + Lead by example; Fostering a culture of continuous ... in contact center environments. + Excellent communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is a strong… more
- AdventHealth (Ormond Beach, FL)
- …systems. + Identifies and reports occurrences with potential claims to the Director of Risk Management per established protocol. + Leads and coordinates ... The Patient Safety Coordinator (PSC) under the direction of the Director of Risk Management is responsible for implementation and coordination of assigned key… more
- City of Lakeland (Lakeland, FL)
- …wellness initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and ... administering a self-insured program. + Makes data-driven recommendations to the Risk Management and Purchasing Director concerning the City's insurance needs. +… more
- University of Miami (Miami, FL)
- …and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct ... this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The department of Risk Management has an exciting opportunity for a full-time Sr.… more
- Cognizant (Tallahassee, FL)
- …make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more