- Evolent (Tallahassee, FL)
- …experience is preferred however not required:** + Demonstrable experience with: + EDI X12 formats including 270/271, 834, 835, 837, &/or other messages + ... Testing database extracts + SQL Server & MS Access with ability to take on operational reporting tasks + Creating & maintaining complex queries using SQL, T-SQL, & / or PL/SQL across various databases + MS Excel including formulas, pivot tables, & VBScript +… more
- Molina Healthcare (Miami, FL)
- …regulatory-related, Molina Quality programs, and taking advantage of electronic solutions ( EDI , EFT, EMR, Provider Portal, Provider Website, etc.). + Trains other ... Provider Services Representatives as appropriate. + Role requires 80%+ same-day or overnight travel. (Extent of overnight travel will depend on the specific Health Plan and its service area.). **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or… more
- Chewy (Plantation, FL)
- …and Private Label + Work with Merchandising, Operations, Finance, Vendor Compliance, EDI , Demand Planning and Supply Planning teams to identify areas of opportunity ... to improve total supply chain performance + Identify, marshal, and organize resources to meet required goals + Coordinate with cross-functional teams to develop consensus process/project plans **What You'll Need:** + BS/BA in Supply Chain, Business… more
- Oshkosh Corporation (Orlando, FL)
- …have a good understanding of various data formats XML, JSON, CSV, Database and EDI . + Knowledge of REST/SOAP web services. + Demonstrable experience working with API ... Integrations and API Management. + Experience of working with connectors with operations (object level understanding) and understanding the various connection types available. + Hands-on experience with Java Script, Groovy, etc. + Experience in integrating… more
- Chewy (Plantation, FL)
- …time + Lead high-impact, cross-functional initiatives with Merchandising, Finance, Vendor Compliance, EDI , and others to build the plans and operational rigor to ... scale our business + Act decisively and independently, taking initiative to move work forward + Partner with technology and product teams to drive improvement in systems, tools and processes. + Drive forecasting accuracy and bias improvements + Analyze… more
- Elevance Health (Tampa, FL)
- …of systems capabilities and Healthcare business operations. + ASC X12 837 EDI experience. + Intermediate Microsoft Excel experience. + Facets systems knowledge ... considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any… more
- Cognizant (Tallahassee, FL)
- …system (Facets) and comparing it with the corresponding UB, HCFA paper, or EDI information. + Responsible for reviewing medical records when necessary to determine ... if the service rendered was medically appropriate and criteria has been met. + Responsible for reviewing claim and line item edits and warning messages for determination of whether to pay claim/line item(s). + Ensure that all designated tasks are handled… more
- Cognizant (Tallahassee, FL)
- …claim processing system and comparing with corresponding UB or HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine ... if service rendered was medically appropriate and criteria have been met. * Responsible for reviewing claim and line-item edits and warning messages for determination of whether to pay claim/line item(s). * Ensuring all designated tasks are handled within the… more
- Paychex (St. Petersburg, FL)
- …Investment Committee, Client Retained plan rules and reconciliation. + Benefits Technology- EDI interfaces, COBS system for clients, MBC web portal, system level set ... ups etc. + Reporting and Analytics- reporting and measuring MLR score cards, client level performance analysis, recommended medical pricing, risk analysis oversight, vendor management. + Managing dedicated 401K Agents to drive 401K attachment on SEP, MEP or… more
- Carnival Cruise Line (Miami, FL)
- …teams on order submission. + Manage, maintain, and engage vendors on cloud based/ EDI tool used by suppliers to communicate orders and changes. Responsible for mass ... communications to suppliers on delivery/ordering process changes. + Manage system UAT projects that pertain to Finance/Operations/Purchasing. Research current and needed system capabilities. Qualifications: + Associate's Degree - Some higher education - major… more