- LEGOLAND (Winter Haven, FL)
- …of Job:** Under the direction of the Health & Safety Manager, coordinate, audit , and track safety protocol in order to enhance safety awareness throughout LEGOLAND ... the system as new information is received in regards to guest/employee incidents and claims management. + Follows up on the status of all General Liability, Bodily… more
- Elevance Health (Miami, FL)
- …claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Prepares correspondence to providers ... not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walmart (Orlando, FL)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... process Medicare orders to ensure compliance; and interpreting and documenting Medicare audit documents. + Ensures fulfillment of pharmacy prescriptions in a Home… more
- Molina Healthcare (Tampa, FL)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- Mass Markets (FL)
- …+ Maintain compliance with internal policies, accounting standards (GAAP/IFRS), and audit requirements. + Monitor and improve accounting processes and systems to ... and external audits by preparing required documentation and responding to audit inquiries. + Collaborate with FP&A, operations, and other cross-functional teams… more
- CVS Health (Tallahassee, FL)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- NextEra Energy (Juno Beach, FL)
- …responsible for preparing tax filings, conducting research and analysis, supporting audit activities, and contributing to tax automation initiatives. This position ... exemption certificate management system and prepare certificates as needed. + Support audit activities by preparing documentation and assisting with data requests. +… more
- Humana (Tallahassee, FL)
- …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... action plans, as needed. You will participate in all phases of the audit process including evaluating control design and adequacy, testing to ensure adherence with… more
- GE Vernova (Pensacola, FL)
- …obligations to Customs. + Active engagement of pre and post shipment audit review, inclusive of valuation, classification, country of origin and applicable special ... and Freight Forwarders to provide timely support documentation for reference and audit . + Support daily Customs Broker engagement, maintain SOP updates &… more