- Prime Therapeutics (Tallahassee, FL)
- …Functional Business Consultant The Functional Business Consultant serves as a project manager **,** business system or business process subject matter expert with a ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Sedgwick (Orlando, FL)
- …To serve as the subject matter expert (SME) of a single line of business; disability , leave of absence or ADA, and responsible for the implementation of the line of ... technology and regulatory compliance. + Serves as a project manager and process owner for all components of a...and experience required to include two (2) years of claims management, managed care or other related experience. **Skills… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Zurich NA (Tallahassee, FL)
- …AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level based upon the selected applicant's ... Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate… more
- Utilities Service, LLC (Palm Bay, FL)
- …the benefits available for this role, please contact the recruiter or hiring manager . **Individuals with a disability who desire a reasonable accommodation can ... Insurance (Medical/Dental/Vision) + Employee Assistance Program + Life, long-term/short-term disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates,… more
- HCA Healthcare (Tampa, FL)
- …+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, ... (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health...and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and… more
- Evolent (Tallahassee, FL)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Walgreens (Davie, FL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Zurich NA (Tallahassee, FL)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent This role will be filled at either the ... Liability Underwriter or VP, Construction Professional Liability Underwriter. The hiring manager will determine the appropriate level based upon the selected… more
- Walgreens (Wellington, FL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more