- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...rules, and regulations of payments channel in order to lead /support periodic reviews of operational procedures for changes, streamline… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid… more
- Molina Healthcare (Tampa, FL)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- MetLife (Tampa, FL)
- …Alpharetta GA offices. In office once a month for meetings The Opportunity The Lead Administrator will perform a variety of complex tasks around death processing ... transactions. How You'll Help Us Build a Confident Future (Key Responsibilities) * Lead Administrator will have a small group to provide coaching and feedback to… more
- Guardian Life (Tallahassee, FL)
- ** Lead AI Innovation Lead - Data Science Lab** **Overview** Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company ... of pioneering research into practical, enterprise-wide solutions. In this role as Managing Lead Data Scientist for the DSL, you'll be entrusted with the crucial task… more
- Humana (Tallahassee, FL)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and operating...transitioned smoothly to markets. + Works with the Test Lead to develop plans of action for testing new… more
- CenterWell (Tallahassee, FL)
- …+ Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... a part of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets.… more
- Walmart (Jacksonville, FL)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- Walmart (Fort Myers, FL)
- …types, programs, and benefits to current and prospective members; processing memberships, upgrades, and credit accounts; encouraging membership renewals; ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
- NextEra Energy (North Palm Beach, FL)
- …(First Notice of Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs & reports, ... affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the ...ideal candidate will be responsible for the following: * Lead the tasks and deliverables of Operations Outsourcing vendor… more