- Abbott (Orlando, FL)
- …failure, allowing people to restore their health and get on with their lives. The Payment Review & Administration SME is responsible for leading the review and ... This role coordinates with insurance payers and internal departments to resolve payment discrepancies, patient refunds, and prepares documentation for internal,… more
- HCA Healthcare (Sarasota, FL)
- …be an important part of the business office team. You will be responsible for posting , reconciling, depositing, adjusting, refunding and balancing of cash and ... daily + You will contact payer and initiate requests for payment and refunds for ...Qualifications you will need:** + Minimum 2 years of payment posting experience + Analytical skills to… more
- Humana (Tallahassee, FL)
- …the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid ... independent determination of the appropriate courses of action. **Ready for a career move?** The Payment Integrity...(40 hours per week) employment at the time of posting . The pay range may be higher or lower… more
- Molina Healthcare (St. Petersburg, FL)
- …seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and ... in Medicaid managed care is required, and a background in payment integrity-either at a health plan or vendor-is strongly preferred. **Knowledge/Skills/Abilities**… more
- Citigroup (Tampa, FL)
- Individuals in Cross Disciplinary Controls Implementation are responsible for multiple activities within the Controls capabilities such as assessment & design, MCA, ... QA, Monitoring & Testing, Issue Management and/or Governance Reporting & Analysis for effective end to end oversight, design, implementation, and execution of… more
- Citigroup (Tampa, FL)
- Individuals in Cross Disciplinary Controls are responsible for multiple activities within the Controls capabilities such as assessment & design, MCA, QA, Monitoring ... & Testing, Issue Management and/or Governance Reporting & Analysis for effective end to end oversight, design, implementation, and execution of controls. Individuals… more
- Molina Healthcare (Orlando, FL)
- …Summary** Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and ... deploying reports to provider networks and other end users for operational and strategic analysis. **Knowledge/Skills/Abilities** The Director of Reporting &… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace ... knowledge. + Prepare performance dashboards, recovery reports, and operational updates for senior leadership. **Required Qualifications:** + 5+ years of experience… more
- Citigroup (Tampa, FL)
- …compliance with AML regulatory and legal requirements, client implementations and payment processing rules, assessment of operational structures for new ... oversight for transformational technology/infrastructure initiatives, and review of payment channels and schemes that may result in reputation/franchise risk … more
- Citigroup (Tampa, FL)
- …+ **Security & Compliance:** Implement and adhere to security best practices for payment systems, ensuring compliance with relevant regulations (eg, PCI ... manage, and monitor applications within AWS, optimizing performance and scalability for high-volume payment transactions. Automate infrastructure deployment and… more
Recent Jobs
-
Communications and Research Manager - Penn Center for Media, Technology, and Democracy
- University of Pennsylvania (Philadelphia, PA)
-
Claim Governance and Control Lead
- AIG (Atlanta, GA)
-
Satellite Communications FSR
- Linchpin Solutions, Inc. (IA)
-
Sales Representative/Business Development Representative - B2B
- Crown Equipment Corporation (Ventura, CA)