- Centene Corporation (Tallahassee, FL)
- …pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk ... of experience in healthcare analytics, large databases, data verification, data management , table creation and indexing, query optimization, utilization of stored… more
- Sedgwick (Tampa, FL)
- …in performance tuning data models and monitor consumption costs. + Integration management : Ensure efficient and secure integration of data across various platforms, ... progress, and strategic direction of data architecture initiatives + Project management : Oversee the planning, execution, and delivery of data architecture projects,… more
- Aston Carter (Medley, FL)
- …with various departments to address queries, manage AR aging, and inform management about collections and outstanding claims status. The role involves ... for accounts. This position requires reviewing and processing invoices and claims , resulting in payment application, credits, denial, and collection of balances.… more
- HCA Healthcare (Atlantis, FL)
- …operation of the clinical risk and patient safety program on a day-to-day basis and claims management program and risk management education for the facility. ... liability risk exposure. Responsible for coordinating activities that focus on the management of claims and pretrial preparation. Also responsible for the… more
- Humana (Tallahassee, FL)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... Enrollment Period (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly lead a… more
- Insight Global (Boca Raton, FL)
- …solid foundation and proven track record in Commercial Healthcare Insurance including claims processing, products, and benefits management . The Product Owner may ... years of experience working within the Commercial Healthcare Insurance industry, including claims processing, products, and benefits management 5+ years of… more
- Robert Half Legal (Coral Gables, FL)
- …personal injury cases from inception to resolution, requiring expertise in case management , medical records coordination, and legal documentation. If you have a ... client service, we encourage you to apply. Responsibilities: * Initiate claims by requesting accident reports and gathering necessary documentation to support… more
- UIC Government Services and the Bowhead Family of Companies (Orlando, FL)
- …(VISS) program in Orlando, FL. **Responsibilities** * Provides full-time on-site management of the performance of contractual requirements and daily supervision of ... college degree. * Minimum of five (5) years of experience in management of Visual Information activities. * Comprehensive knowledge of photography, videography,… more
- Marriott (Longboat Key, FL)
- …in maintaining required OSHA programs and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented. ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** Assists the Director of Loss Prevention… more
- Healthfirst (FL)
- …with internal teams (eg, sales, customer service, compliance) to ensure seamless management of members. + Monitor ,report, and deliver updates on memberships, data ... institution + Leadership experience in a high-volume production billing, enrollment, claims , call center environment or related environment. + Basic understanding of… more