- Molina Healthcare (FL)
- …Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation for further review. + Research ... issues utilizing systems and other available resources. + Assures timeliness and...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- Deloitte (Tallahassee, FL)
- Manufacturing Executions Systems Solution Architect Specialist Master - Apriso/Opcenter/Aveva We are a team of strategic advisors, architects, and implementers ... needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be… more
- Deloitte (Tampa, FL)
- Senior Data Scientist, Specialist Senior - SFL Scientific Our Deloitte Strategy & Transactions team helps guide clients through their most critical moments and ... detection, drug discovery, optimizing population health and clinical trials, autonomous systems and edge AI, agentic solutions, and consumer product innovation. Join… more
- Highmark Health (Tallahassee, FL)
- …and maintenance of self-service resources for providers, entities, and health systems within these programs. Works on multiple projects and has exposure ... maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for both the… more
- Merck (Tallahassee, FL)
- …projects, including those related to Combination Products and Drug Delivery Systems . The role includes leading, enabling or consulting in the development ... control, risk management/ISO 14971-2019 and the fundamentals of documentation structure/ systems * Experience with medical device or combination product… more
- Molina Healthcare (Miami, FL)
- …with health care providers to clarify questions and request any missing information . * Updates credentialing software systems with required information ... goals and maintaining a high level of confidentiality for provider information . **Job Duties** * Evaluates credentialing applications for accuracy and completeness… more
- Merck (Tallahassee, FL)
- …+ Guide standards for how automation interacts with ITSM, detection engines, identity systems , and risk scoring frameworks. + Serve as lead integrator between the ... the AI Lead to ensure insights are engineered into secure, responsive systems . **Required Qualifications** + Bachelor's degree in Computer Science, Engineering, or a… more
- Sherwin-Williams (Land O' Lakes, FL)
- …minors; and access to cash and other payment methods, electronic equipment, personal information , store merchandise and other items of value, and such access may be ... range estimate has not been adjusted for the applicable geographic differential associated with the location at which the...be filled. The wage range, other compensation, and benefits information listed is accurate as of the date of… more
- Sherwin-Williams (Boynton Beach, FL)
- …minors; and access to cash and other payment methods, electronic equipment, personal information , store merchandise and other items of value, and such access may be ... range estimate has not been adjusted for the applicable geographic differential associated with the location at which the...be filled. The wage range, other compensation, and benefits information listed is accurate as of the date of… more
- Molina Healthcare (FL)
- …work to team. + Prepares appeal summaries, correspondence, and documents information for tracking/trending data. + Prepares draft narratives, graphs, flowcharts, ... in presentations and audits. Researches claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews… more