- Humana (Tallahassee, FL)
- …5 days/week. **Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience ... part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices.… more
- Travelers Insurance Company (Orlando, FL)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Walgreens (Vero Beach, FL)
- …and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records...Follows-up with insurance companies as well as medical providers and conducts… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- USAA (Tampa, FL)
- …provide this documentation may result in disqualification. As a dedicated Program Manager Lead, you will lead the management, execution, and delivery of large-scale ... documentation may result in disqualification.** + Experience leading $1B+ Claims transformation programs. + Demonstrated experience managing programs with… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Stantec (Orlando, FL)
- …project solutions to life. Your Opportunity Stantec is seeking a Project Commercial Manager who will be responsible for all matters pertaining to the contractual and ... System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project… more
- AdventHealth (Maitland, FL)
- **Account Representative Manager Billing/Collections/Denials -Advent Health** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at ... Be Responsible For:** + Manages the cohesive relationship between insurance and hospital. Works with Insurance payers...and customer service for all payer and patient accounts. Manager monitors and directs the process of follow up… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …inspired by helping others reach their potential? Join Devereux as a Revenue Cycle Manager !_ We are seeking a dynamic, positive Revenue Cycle Manager who ... change lives for the better! Located in Orlando, FL the Revenue Cycle Manager will be responsible for monitoring and reporting on accounts receivable activities for… more
- HCA Healthcare (Atlantis, FL)
- …**Introduction** Do you have the career opportunities as a(an) Senior Risk Manager you want with your current employer? We have an exciting opportunity ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more