- Highmark Health (Tallahassee, FL)
- …hoc reports; to include but not limited to; gathering of data, analysis, documentation of findings, and calculation of results and generation of reports for ... distribution. + Coordinate activities to ensure the project is advancing properly and to ensure the project is completed within the timeframes established. Included in this process will be communication with Management at Highmark, subsidiaries, affiliates,… more
- Elevance Health (Miami, FL)
- …effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 ... code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development… more
- Prestige Employee Administrators (Tampa, FL)
- …new plans + Communicate with carriers and clients + Collect and maintain plan documentation + Audit plans + Claims assistance + Partner with Accounting to reconcile ... bill + Benefit system set up for new plans + Assist with Open enrollment: + Prepare the system for every client renewal change (benefits and contributions) for Open Enrollment + Update all benefit rules for every client and class for every benefit offered for… more
- Molina Healthcare (Orlando, FL)
- …+ Maintains SharePoint Sites as needed, including training materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing ... relevant Financial and Utilization Metrics of Healthcare. + Must be able to act as a liaison between Finance and Network Contracting as well as other external teams. + Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor… more
- MUFG (Tampa, FL)
- …all transactions that are referred to the Compliance department contain complete documentation with all related information and correspondence. + Review, Monitor and ... distribute all e-mails in the MTD Transaction Screening Unit Mailbox. _Maintain thorough and accurate records, facilitating management review:_ + Review Daily IntelliTRACS Investigation Open/Pending Cases. + Maintain the HotScan monthly statistics, ensuring… more
- Navy Federal Credit Union (Pensacola, FL)
- …and value of MASP partnerships and programs + Develop clear, user-friendly documentation and how-to guides to help internal stakeholders effectively navigate and ... leverage dashboards for decision-making + Present analytical results and dashboard capabilities to stakeholders across all levels, including senior leadership, to drive data-informed decision-making. + Become integrated into and participate in the day-to-day… more
- Navy Federal Credit Union (Pensacola, FL)
- …to business partners and other stakeholders + Maintain clear and organized documentation of review data, status, results, and completion date Qualifications + ... Currently pursuing a graduate degree in Business Administration or other related degree + Familiarity with business intelligence applications and/or cloud services + Familiarity with reporting capabilities of PowerBI and Azure Data Studio + Familiarity with… more
- BrightSpring Health Services (Miami, FL)
- …are competent on the implementation of the program plan and/or documentation sheets + Provide follow-up interviews/home visits/observations for continued support for ... the individual's needs + Be flexible/adaptable to ever changing policies/procedures/status/issues related to the individual in order to support him/her + Have effective record keeping (ie monthly/quarterly notes; in-service training; contact information;… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …spreadsheets and data bases. + Preparing, processing and maintaining transaction documentation , files, and records. + Organizational and time management sufficient ... to prioritize workload, handle + multiple tasks, and meet deadlines. **Ability to:** + Identify, recommend and justify changes to standard procedures when required by specific situations and circumstances. + Work independently, make decisions and resolve or… more
- HUB International (Winter Park, FL)
- …and follow-ups. The account services team is also responsible for all related documentation (such as Benefit Point) and vendor relations (such as procuring vendor ... proposals and vendor setup). Additionally, Compliance team members shall not participate in client (or prospect) compliance calls without the presence of someone from the HUB account services or producer team also on the call. The client-relationship owner… more
Recent Jobs
-
Virology Customer Representative
- Merck & Co. (St. Louis, MO)
-
Senior Corporate Account Manager
- Merck & Co. (Lenexa, KS)
-
Seasonal Truck Driver/Operations Specialist
- CHS Inc (Tracy, MN)
-
Associate Director, Product Source Management
- Merck & Co. (Durham, NC)