- MyFlorida (Orlando, FL)
- …but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable ... of patients, investigate the alleged misappropriation of patients private funds in health care facilities, and safeguarding the privacy rights of all individuals to… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …cases to ensure quality care while advocating for appropriate utilization of health system resources consistent with health plan's policy, criteria guidelines, ... as well as knowledge of the interconnection between Utilization Management, claims , and regulatory requirements to respond to complex and/or escalated inquiries.… more
- The Cigna Group (Sunrise, FL)
- …an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- The Hartford (Lake Mary, FL)
- …in the RMS process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on ... is required with coursework focused on Occupational Safety and Health Studies, Fire Sciences, Pure Sciences, Engineering or related...world? What else can we do to destigmatize mental health in the workplace? Can we make our communities… more
- AdventHealth (Zephyrhills, FL)
- …Repayment Program + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about ... develops and administers the Risk Management Program for loss prevention and claims control (according to federal, state, and local requirements) to meet the… more
- AdventHealth (Altamonte Springs, FL)
- …Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being ... Coding programs. Will work with Case Management, the Billing Office, Coding Manager , Clinical Documentation Improvement specialists and the coding team to code and… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... management + Act as a liaison for field representatives, health care providers and patients Job Details Snapshot: +...and quotas being met at the discretion of the manager . Requirements Qualifications to be a Bilingual Patient Access… more
- ChenMed (Miami, FL)
- …the depositions of employees for litigation matters as well as non-party claims and reviews subpoenas for accuracy. + Manages the Legal Department's administrative ... detailed messages. + Performs other duties as assigned and modified at manager 's discretion. EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS: + Associate's degree is… more
- Wells Fargo (Miami, FL)
- …+ Interact with team, functional area, internal peers outside work group, and manager on planning and performing analysis, trends for ATM service, vendor branch ... and collaborate with individuals across departments. + Experience with claims research and management + Cash Management or Armored...following benefit plans and programs offered to employees. + Health benefits + 401(k) Plan + Paid time off… more
- PCL Construction (Tampa, FL)
- …prior to forwarding to design for review. + Coordinates with project manager and superintendent in managing and reporting overall project or select scope ... HSE, cost management, schedule, and quality. + Prepares and supervises progress claims and estimates. + Coordinates inventory and tracking of materials and equipment… more