- Prime Therapeutics (Tallahassee, FL)
- …that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given ... ability to contribute in the role based upon the following: + Professional /related publications written and/or contributed to + Contributions to Blogs + Technical… more
- Walgreens (Orlando, FL)
- …rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. + Manages and controls Prescription Department ... drive business growth. + Recommends, plans, and administers community and professional relations programs. + Informs appropriate personnel of department's plans,… more
- Highmark Health (Tallahassee, FL)
- …budget compilation and attainment. Provides tools and guidance to supervisors and professional staff to assure that performance and servicing standards are met. ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- NBC Universal (Orlando, FL)
- …Member discipline and performance issues. Investigates workplace situations, including claims of harassment, discrimination, and policy violations. Supports decision ... plans. Ensures that any written communication directed to Team Members is legal , fair, consistent, in line with Universal Orlando's values, and follows the… more
- Siemens Energy (Orlando, FL)
- …project manager in leading and optimizing targeted financial results with due professional care, including but not limited to handling Accounting, Legal , ... goals and objectives.** + **Contract Negotiations: Co-lead negotiations for contracts, claims , and change orders with stakeholders, ensuring financial interests are… more
- Highmark Health (Tallahassee, FL)
- …ten years of demonstrated experience selling broad range of SaaS, PaaS, BPaaS and professional services in a complex healthcare sales cycle environment + 8 years of ... of healthcare technology products especially in Clinical, Digital, Provider, Claims , Enrollment, Billing, Benefits, Products and Services. Knowlege of Provider… more
- Walgreens (Lynn Haven, FL)
- …ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with ... including learning modules, as required by the Company. + Seeks professional development by monitoring one's performance, solicits for constructive feedback, and… more
- Leonardo DRS, Inc. (Fort Walton Beach, FL)
- …Develop and implement new procedures and methods to reduce costs + Resolve claims for loss or damage + Make recommendations on staffing, performance appraisals, ... contribution to a health savings account, telemedicine, life and disability insurance, legal insurance, and a 401(k) savings plan. We champion wellness programs that… more
- The Hartford (Lake Mary, FL)
- …in the RMS process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special ... insurance experience highly desired + Ability to achieve or maintain 1 professional safety certification/designation (ie) CSP, CIH, CPCU, CFPS, ARM, etc. + Must… more