- MyFlorida (Orlando, FL)
- …but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable ... accreditation process and timely cooperation with requests from the MFCU Accreditation Manager and members of the Accreditation Team. This is independent work… more
- Ryder System (Miami, FL)
- …Management . Coordinate and collaborate with actuarial specialists, captive broker and claims system vendor 1 . Conduct in-depth financial analysis to provide ... (10) years or more Public Accounting experience at a manager level or equivalent industry experience required. + Ten...to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... and quotas being met at the discretion of the manager . Requirements Qualifications to be a Bilingual Patient Access...employees enjoy! + Medical, dental, vision, life, & short-term disability insurance + Teledoc services for those enrolled in… more
- Bank of America (Miami, FL)
- …Self-motivated and results-oriented with excellent organizational skills **Skills:** + Claims Management + Controls Management + Monitoring, Surveillance, and ... expression, age, national origin, ancestry, citizenship, protected veteran or disability status or any factor prohibited by law, and...offered a role with Bank of America, your hiring manager will provide you with information on the in-office… more
- Kratos Defense & Security Solutions, Inc. (Fort Walton Beach, FL)
- …recruiting process; including screening resumes, scheduling interviews, soliciting hiring manager feedback, presenting offers, and conducting background checks. + ... + Works with employees and leadership on leave of absences and workers compensation claims . + Partners with Environmental Health & Safety to promote a safe working… more
- AdventHealth (Altamonte Springs, FL)
- …contribute:** The Coder II, under general supervision of the Regional Coding Manager is responsible for assigning codes to ambulatory surgery, observation, wound ... Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance f. Takes responsibility for the unbilled in… more
- Evolent (Tallahassee, FL)
- …: The Coordinator, Intake Utilization Management reports directly to the Manager , Utilization Management. In support of our daily operations this individual ... requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write… more
- PCL Construction (Fort Lauderdale, FL)
- …prior to forwarding to design for review. + Coordinates with project manager and superintendent in managing and reporting overall project or select scope ... HSE, cost management, schedule, and quality. + Prepares and supervises progress claims and estimates. + Coordinates inventory and tracking of materials and equipment… more
- Surgery Care Affiliates (Bonita Springs, FL)
- …coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here (https://careers.sca.health/why-sca) to learn more about ... selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits… more
- VetsEZ (FL)
- …related field. + 7+ years of experience with Pega PRPC v7.x+ (including Smart Claims & Healthcare Foundation). + 3+ years of Java development experience. + Certified ... Kubernetes, CI/CD pipelines, container orchestration tools, and Pega Deployment Manager . + Excellent communication and collaboration skills. Additional Qualifications:… more