- Zelis (St. Petersburg, FL)
- …gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is ... more than 750 payers, including the top five national health plans, regional health plans, TPAs and...operations and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the… more
- Sedgwick (West Palm Beach, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover Jupiter, West ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...- a rewarding career making an impact on the health and lives of others, and a remote work… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …team to develop global regulatory plans, address global regulatory issues, health authority queries, and regulatory obligations. **J** **ob Responsibilities** - ... need and obtains regulatory intelligence, researches precedent approvals and prior health authority decisions to assess applicability to support development of… more
- University of Miami (Miami, FL)
- …. The department of Risk Management has an exciting opportunity for a full-time Sr. Manager , Risk Management to work on the UHealth campus. The Sr. Manager , Risk ... potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation and assist… more
- Travelers Insurance Company (Tallahassee, FL)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved...analysis required.** **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Healthfirst (FL)
- …in Healthcare/ Health Plan customer service, operations, vendor management, or claims processing. + Previous work experience in an auditing function conducting ... of healthcare Operations processes and supporting systems such as Claims Processing, Enrollment & Billing, and Member Services. +...lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family… more
- Compass Group, North America (Orlando, FL)
- …guests and partners is our number one priority. As Safety and Sanitation Manager , you are responsible for leading all areas of Safety and Sanitation compliance ... at the location. The ideal candidate will be a health and safety champion who is focused on people...team in responding to or managing any safety and claims issues * Working with operations and culinary teams… more
- AdventHealth (Maitland, FL)
- **Account Representative Manager Billing/Collections/Denials -Advent Health ** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work ... to the collections, payment and customer service for all payer and patient accounts. Manager monitors and directs the process of follow up with insurance in a timely… more
- LCEC (North Fort Myers, FL)
- JOB TITLE: Manager , Risk & Compliance Location: North Fort Myers, FL Work Hours: 8:00am to 5:00pm Our benefits include: + Company-wide annual incentive plan + ... wellness/medical facility + Company paid Short & Long-Term Disability insurance + Health Savings Account with an employer contribution + Flexible Spending Accounts +… more
- Walgreens (Orlando, FL)
- …+ Maintains and develops good working relationships with physicians and other health professionals. Works collaboratively, with the Registered Manager , Local ... and efficient service to patients, prescribers, pharmaceutical manufacturers, payers, and health systems. + Reports prescription errors immediately and adheres to… more