- Elevance Health (FL)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Insurance annual statement exhibits. **Minimum Requirements:** Requires a BA/BS...Jersey, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Miami, FL)
- …be licensed in multiple states in a timely basis. + Knowledge of health insurance /benefits strongly preferred. + Transplant experience strongly preferred. Please ... monitor, and evaluate care plans designed to optimize member health care across the care continuum and ensuring member...treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- …Perform other duties as assigned Benefits Offerings: + 401(k) with company match + Health , dental, vision, life, and pet insurance + Mileage reimbursement and ... Home Health RN Operations Manager 10K Sign On Bonus...compliance with all Federal and State regulations governing Home Health Care Agencies, and ensuring compliance with Aveanna's policies… more
- Sedgwick (Tallahassee, FL)
- …determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- Cardinal Health (Tallahassee, FL)
- …reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization ... as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintains detailed… more
- Publix (Lakeland, FL)
- …Business, Finance, or related field. + 5-7 years of experience managing tort claims in a corporate legal or insurance setting. + In-house experience-preferably ... in a retail, healthcare, or consumer-facing company. + Familiarity with risk management, claims adjusting, and insurance financials. + Experience with legal fee… more
- Elevance Health (Tampa, FL)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Perform duties telephonically or on-site ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Tampa, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... an Impact:** + Uses analytic tools to: track both health risks and compliance, as well as supporting the...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- Elevance Health (Miami, FL)
- …(CPC or CCS-P) required. **Preferred Skills, Capabilities, and Experiences:** + Claims processing experience preferred. + Knowledge of medical terminology and ... anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance … more
- Elevance Health (Tampa, FL)
- …**Be Part of an Extraordinary Team** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new ... management. + Respond to and resolve issues related to member/provider complaints, claims processing issues and appeals. **Minimum requirements:** + PharmD from an… more