- Molina Healthcare (Tampa, FL)
- …The Manager, Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues related to cost, ... Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the root causes of...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Cardinal Health (Tallahassee, FL)
- …compliance with internal policies and external regulations; safeguards Protected Health Information (PHI) and enhances operational efficiency through process ... improvement recommendations. This work directly contributes to Cardinal Health 's commitment to financial transparency, regulatory compliance, and high-quality… more
- Cardinal Health (Doral, FL)
- …Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... billing system according to departmental procedures. + Follow up on unpaid claims within payer-specific guidelines and timelines. + Coordinate with other billing… more
- Highmark Health (Tallahassee, FL)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... governmental agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be confidential in… more
- Walmart (Orlando, FL)
- …rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other ... example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance companies to resolve rejections interpreting… more
- Sedgwick (Tallahassee, FL)
- …evaluates, negotiates, and resolves recreational marine or personal watercraft claims internationally, regardless of complexity and quantum. **ESSENTIAL FUNCTIONS ... and RESPONSIBILITIES** + Investigates recreational marine or personal watercraft claims thoroughly using technical expertise and complex analysis. + Examines… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** The Graduate Intern - Data Analytics will work closely with Senior Data Scientists to support Highmark's Fraud, ... Daily responsibilities will involve the in-depth analysis of complex healthcare claims data utilizing advanced analytical techniques to detect anomalous provider… more
- Community Health Systems (Naples, FL)
- …Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including ... Support resolution strategies, including mediation and settlement negotiations with CHS Claims . **Reporting & Governance** + Prepare and present monthly and… more
- Mass Markets (FL)
- …of a globally expanding, industry-leading organization. We are seeking aSpanish-speaking Licensed Health Insurance Agent. As a key member of our team, you will ... be responsible for providing exceptional service to clients, assisting with health insurance inquiries, and guiding customers through the process of selecting and… more
- Elevance Health (Tampa, FL)
- …development and implementation of medical expense management initiatives for assigned Carelon Health business unit. **How you will make an impact:** + Oversees the ... of new and innovative initiatives specific to the Carelon Health , enterprise or one or more health ...human capital resources, and partners with care management, network, claims & operational teams, IT, and business partners. +… more