- Sedgwick (Tallahassee, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- CVS Health (Tallahassee, FL)
- …in support of an international network, medical cost management and overall claim /customer service strategies. This role will provide concierge level of service to ... float management. + Ensuring service level adherence (GOP TAT, eligibility processing, claim TAT, reconciliation TAT, fee invoicing etc) + Ensure TPA networks are… more
- Siemens Energy (Orlando, FL)
- **A Snapshot of Your Day** As a Contract Manager in the Project Entity group, you will support the execution of contracts pertaining to the sale and service of ... contractual risks, drafting and negotiating agreements, documenting, defending and enforcing claims , and advising and supporting project and site management in the… more
- Zelis (St. Petersburg, FL)
- …gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is ... operations and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the...+ Oversee the DRG validation process including management of claim assignment and queues, adherence to client turnaround time… more
- Adecco US, Inc. (Orlando, FL)
- …currently assisting one of its clients in their search for a Field Reimbursement Manager to work remotely from Florida! **Pay rate** : $51.95 - 60.10 **Shift ... on Apply Now and don't forget to upload your resume!** The Field Reimbursement Manager (FRM) plays a critical role in facilitating patient access to therapy by… more
- Sedgwick (Orlando, FL)
- …RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for… more
- CVS Health (Tallahassee, FL)
- …to GLOBAL VIP CLIENT. The ideal candidate will assist the Senior Network Manager in managing competitive and complex contractual relationships with TPAs and business ... supports the international network, medical cost management, and overall claim /customer service experience. The candidate will provide concierge-level service to… more
- Elevance Health (Tampa, FL)
- ** Manager DRG Coding Validation ( Manager Program and Project Management)** **** **Hybrid 2:** This role requires associates to be in-office **3** days per week, ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and ... proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must have attention to detail and competencies in decision support… more
- Performance Food Group (Tampa, FL)
- **126773BR** **Job Title:** Safety & Training Manager **Location:** CM Tampa (2578) **Job Description:** **We Deliver the Goods:** + Competitive pay and benefits, ... be required. **Position Summary:** The purpose of the Safety and Training Manager is to support Safety initiatives and occupational safety and food safety/quality… more