- NASCO (Tallahassee, FL)
- …to deliver data-driven SaaS solutions that enhance healthcare payer operations , risk management, and member engagement. **Responsibilities** Governance + Manages ... with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS… more
- Walgreens (Gainesville, FL)
- …needs, servicing until satisfied, etc.). + Develops strong relationships with customers. Operations + Learn from store and pharmacy team members, field leadership, ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- The Hertz Corporation (Tampa, FL)
- …vendor-related and vehicle lot theft, and fraudulent vehicle towing and impound operations . * Assist with Safety Investigations to include responding to scenes, ... * Review, analyze, and preserve security footage for relevant evidence. (Safety, Claims , Theft, etc.) * Locate unauthorized tracking devices (AirTags, etc.) in… more
- Walmart (Pinellas Park, FL)
- …you won't just keep shelves stocked, you'll play an important role in the operations and sanitary conditions of our freezers and coolers that keep our product ready ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- GAP Solutions Inc (Tallahassee, FL)
- …Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC). **Duties and Responsibilities:** + Processing personnel and ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Evolent (Tallahassee, FL)
- …reports directly to the Manager, Utilization Management. In support of our daily operations this individual also works with our clinical team, which includes our ... requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write… more
- Baylor Scott & White Health (Tallahassee, FL)
- …documentation . Create SAM ticket for contracts/amendments to be loaded in claims /configuration system . Ability to handle multiple priorities with deadlines . ... other departments on new business projects . Attend monthly Provider Network and/or Operations meetings and may be required to attend other required meetings in… more
- Sysco (Jacksonville, FL)
- …relations, benefits, payroll, policies and procedures, etc. + Partner with operations team to facilitate monthly employee engagement meetings Payroll Administration ... laws + Develop and Maintain Affirmative Action Plan + Monitor unemployment claims **EDUCATION** + Bachelor's Degree in Human Resources, Business Administration, or a… more
- Centene Corporation (Tallahassee, FL)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to ... be required to work weekends and holidays in support of business operations , as needed. **Education/Experience:** + Medical Doctor or Doctor of Osteopathy.… more
- United Therapeutics (Tallahassee, FL)
- …customer-facing team. The primary objective of this position is to manage daily operations of a team of national field-based Therapy Access Managers (TAMs) across ... and collaborating across multiple stakeholders + 3+ years of experience in claims reimbursement including: + Coverage, coding, billing and payment; + Working with… more