- Zelis (St. Petersburg, FL)
- …or healthcare. + Proven expertise in fraud detection tools, behavioral analytics, and case management systems. + Experience developing fraud rule logic and ... match, flexible paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical, dental, vision, and prescription drug… more
- DXC Technology (Tallahassee, FL)
- …Test Lead role. + Proven expertise in TOSCA Test Suite, including test case design, automation scripting, and execution. + Strong understanding of test automation ... principles, risk-based testing, and test data management . + Solid experience in Agile, Scrum, or DevOps...is a plus. + Experience in banking, healthcare, or insurance is an advantage. + Bachelor's degree in Computer… more
- CenterWell (Jacksonville, FL)
- …records. May advise patients on health maintenance and disease prevention or provide case management . **Job Functions:** + You will be responsible for leading ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** About Conviva Senior Primary… more
- University of Miami (Miami, FL)
- …procedures and safeguards University assets. Department Specific Functions: + Project Management to include lead organizational and support roles for various ... community cardiologists. + Communicating with office staff, helping with insurance , facilitating communication between MDs and parents/patients with our clinical… more
- GovCIO (Tallahassee, FL)
- …Defense Counterintelligence Security Agency (DCSA), Background Information Systems (BIS), Case Processing and other background investigation systems. The successful ... security, and other support entities. ServiceNow is the primary workflow management tool used within the environment. Specific responsibilities will include: +… more
- Humana (Hallandale Beach, FL)
- …population in a professional setting (under 21). + Minimum one, (1) year of case management experience. + ACHA Level II Background Check is required. **Preferred ... Medicaid training and engage formerly acquired skillsets to: + Perform care management of pediatric members (under 21) who utilize Applied Behavioral Analysis (ABA)… more
- Cleveland Clinic (Weston, FL)
- …chronic illness treatment and its outcomes. + Partner with outpatient team, insurance and billing specialists in implementing policy related to social work and ... expertise as necessary including utilization of high-risk screening criteria for case findings and outreach activities which may include mental health and… more
- SitusAMC (Tallahassee, FL)
- …to participate in various benefit plans, including medical, dental, vision, life, disability insurance and 401K; in each case in accordance with the terms ... in the middle of distraction + Experience with Dashboarding and reporting Management Additional Qualifications: + **Good to have experience on** Bedrock Data… more
- Prime Therapeutics (Tallahassee, FL)
- …conclude preliminary investigation in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource ... as claims data, suspicious patterns and other supporting information related to case allegation. + Requires the verbal, written and interpersonal skills to… more
- Wellpath (West Palm Beach, FL)
- …Program (EAP) including free counseling and health coaching * Company paid life insurance * Tax free Health Spending Accounts (HSA) * Wellness program featuring ... psychotherapy, conducting psychological testing, andparticipatingin developing,monitoring, and implementing behavioral management plans. They are an active member of the… more