- City of Lakeland (Lakeland, FL)
- …loss prevention, and wellness initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management ... state and federal agencies dealing with insurance, safety, and health and wellness. + Monitors all claims ...and health and wellness. + Monitors all claims activity, providing a forum for discussion and adjustment… more
- AdventHealth (Maitland, FL)
- …bundled payments, pay-for-performance, and capitation Working knowledge of population health , utilization measurement, and claims analytics Managed Care, ... Patient Financial services, health insurance claims processing, contract management, or medical economics Proficiency in understanding professional and facility … more
- CenterWell (Tallahassee, FL)
- …first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Tallahassee, FL)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical **Use your skills to make an… more
- Humana (Tallahassee, FL)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management **Use your skills to make an impact**… more
- Elevance Health (Tampa, FL)
- …an accommodation is granted as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health 's National Operations Command ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...EdWard, OPAL, OBI, EDI. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Humana (Tallahassee, FL)
- … first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse ... teams focusing on quality management, utilization management, discharge planning and/or home health or rehab + Must be passionate about contributing to an… more
- Elevance Health (Tampa, FL)
- …is granted as required by law. The **Business Architect Sr. - Government Claims ** will be part of Elevance Health 's National Operations Command Center ... **Business Architect Sr. - Government Claims ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity,… more
- WTW (Miami, FL)
- …We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims responsibilities ... such as supporting the effective management, analysis, and resolution of claims , ensuring accurate processing and timely communication between clients, reinsurers,… more
- Sedgwick (Miami, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Multi-State Licensing Preferred - Hybrid - Sedgwick Offices) ... one. **PRIMARY PURPOSE** **:** To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more