- Humana (Tallahassee, FL)
- …transitions through comprehensive validation **Transactional State Memory & Exactly-Once Processing ** + Architect and manage transactional state stores serving as ... and workflow design + In-depth understanding of: + Exactly-once or effectively-once processing + Failure modes in distributed environments + Proficiency in one or… more
- Humana (Tampa, FL)
- …use cases. + Design, develop, and maintain robust data pipelines for ingestion, processing , and transformation of large datasets. + Assist our data science team in ... with any nosql DBs. + Knowledge of natural language processing (NLP). + Familiarity with big data and data...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** Humana Inc.… more
- Humana (Tampa, FL)
- …use cases. + Design, develop, and maintain robust data pipelines for ingestion, processing , and transformation of large datasets. + Assist our data science team in ... with deep learning techniques and frameworks. + Knowledge of natural language processing (NLP). + Familiarity with big data technologies (eg, Hadoop, Spark). For… more
- Humana (Tallahassee, FL)
- …Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana's strategic ... with special attention to privacy, security, and regulatory requirements in claims processing . + Act as an escalation point for critical delivery blockers or… more
- Highmark Health (Tallahassee, FL)
- …defined scope of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim processing inaccuracies. Bring ... limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy . The person in this position must fully understand all product… more
- MyFlorida (Jacksonville, FL)
- …Program and Business Operations Manual, DOH-Duval Billing Manual, DOH-Duval Policy , etc.) Public Health Competency Domain 1: Analytical/Assessment skills Public ... Health Competency Domain 2: Policy development/Program planning skills Public Health Competency Domain 3:...Competency skills + Register and verify client demographics and insurance information in HMS. + Greet clients over the… more
- MyFlorida (Tallahassee, FL)
- …payroll processing Incumbent must have experience in State of Florida insurance and benefits processing Incumbent must have experience working with the ... in all areas of Payroll and Benefits, including proper procedures for processing actions and interpretations of laws, rules, and policies. Conducts or participates… more
- MyFlorida (Tallahassee, FL)
- …provided the benefits listed below: + Approximately 97.5% of the premium forhealth insurance + Individual (~$8/month) or Family (~$30/month) + 100% of the premium ... for individual or family dental insurance + 100% of the premium...systems. This includes timely completion of monitored jobs and, processing daily draws for games that occur during a… more
- Community Health Systems (Naples, FL)
- …eligible roles.** **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing , billing, and follow-up to ensure timely and ... Billing or Coding preferred + 0-2 years of experience in medical billing, insurance claims processing , or revenue cycle management required **Knowledge, Skills… more
- MyFlorida (Tallahassee, FL)
- …Health insurance (ie, individual and family coverage) to eligible employees * Life insurance ; $25,000 policy is free plus option to purchase additional life ... The Agency for Health Care Administration is Florida's chief health policy and planning entity. The Agency is responsible for administering the… more