- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. **Job Duties**… more
- Anywhere Real Estate (Tampa, FL)
- The Specialist , Escrow Operations will provide critical support to the escrow team by assisting with post-closing corrective matters, troubleshooting operational ... **Post-Closing Support:** + Prepare and process corrective deeds and other post-closing documentation . + Retrieve and review files from the core operating system for… more
- Carrington (Jacksonville, FL)
- …team and work remote from home!** The Sr Dispute Correspondence Specialist is responsible for handling Qualified Written Requests and Written Credit Bureau ... actions taken, and final resolution. + Compile all corresponding supporting documentation relevant to the investigation findings. + Maintain detailed and… more
- University of Miami (Miami, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Quality Improvement Specialist 2 leads and directs multiple complex ... the activities of multiple projects and teams. Creates and maintains proper documentation of project related tasks and timelines. + Presents recommendations and… more
- RELX INC (Boca Raton, FL)
- Implementation Specialist Are you ready to lead complex, cross functional projects that directly impact the future of nursing and health education? Would you like to ... educational outcomes for Nursing students. About the Role This Implementation Specialist plays a vital role in managing projects across cross-functional teams… more
- Cordis (Miami Lakes, FL)
- …who keep saving lives. **Responsibilities** **Job Summary:** The Pricing Contract Sr Specialist is responsible for managing the full lifecycle of complex customer ... and strategic accounts, including GPOs and IDNs. The Senior Specialist proactively identifies opportunities to improve contract performance, supports strategic… more
- Guidehouse (Tampa, FL)
- …**Travel Required** **:** None **Clearance Required** **:** None This position is fully remote **What You Will Do** **:** + Under the direction of the Director ... hold edits, and claim denials. **This position is 100% remote ** .Daily duties for this position include: + Responsible...level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate and… more
- Ryder System (Tallahassee, FL)
- …the United States and Canada and manage a full caseload of requests. The specialist will handle the cases from beginning to end including conducting the interactive ... of return to work accommodations and case management processes. + Maintain information/ documentation in case management system to track and ensure accurate and… more
- Sharecare (Tallahassee, FL)
- …skills essential + Proficiency in Microsoft Office applications + Strong documentation , communication, and customer service skills + Demonstrated ability to manage ... (SME) for assigned customer accounts, demonstrating strong skills in documentation , communication, and organization + Demonstrates strong leadership abilities +… more
- Molina Healthcare (Miami, FL)
- …Duties** * Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. ... (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures… more
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