- Jacobs (Tampa, FL)
- …our team at he Tampa Airport. Acts as an advisor to HCAA for review and recommendation for best practices related to construction health and safety Provide ... to include notification reporting, follow up meetings and tracking Review and provide comment on all submitted Design Builder...metrics on a monthly basis and contribute site activities, claims information, and metrics to the client monthly report… more
- Insight Global (Jacksonville, FL)
- …defined by departmental protocol by accurately assessing and correcting issues regarding medical necessity, claims denials, bundling issues and charge capture. - ... Job Description Our client is in need of an Inpatient Rehabilitation Medical Coder. As an IRF Coder you will be responsible for coding and applying ICD-10-CM and PCS… more
- AdventHealth (Orlando, FL)
- …and patient focused education on new specialty and non-specialty therapies. Review therapies for side effects, clinical appropriateness, and drug interactions. Track ... it. Maintains accurate computer records of medications dispensed. Performs clinical review on all outgoing prescriptions and verifies that all necessary information… more
- AdventHealth (Altamonte Springs, FL)
- …and mid-level tier payer contracts as well as direct and indirect negotiation, review , and completion of assigned low-level tier payer contracts. Duties as assigned ... initiatives as directed by AdventHealth leadership; managed care contract review , interpretation and analysis, negotiation, reporting, implementation for assigned… more
- AECOM (Jacksonville, FL)
- …staff, assisting in all phases of the construction project + Prepare and review progress estimates and final estimates throughout the construction project duration + ... in the preparation of contract documents, change orders, and claims analysis + Contribute to continuous improvement initiatives within...employment, selected candidate must pass a Motor Vehicle Records review + Due to the nature of the projects… more
- Actalent (Orlando, FL)
- …information when needed, and forwarding cases to pharmacists for final review and determination. Responsibilities + Process and manage denied prior authorization ... members, primarily elderly individuals, regarding denied medication requests. + Review submitted documentation and gather additional information to support the… more
- GE Vernova (Pensacola, FL)
- …to Customs. + Active engagement of pre and post shipment audit review , inclusive of valuation, classification, country of origin and applicable special program ... Conduct internal training specific to Customs operations. + Support active review and revisions of business policies, procedures and manuals associated with… more
- Cognizant (Sarasota, FL)
- …delivery enablement * Experience of working closely with Duck Creek for solution review , estimate review , Delivery Assurance Audit, AMIs etc. * Experience with ... the Billing and Claims configuration knowledge, Data Insight, producer, policy holder will...for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off… more
- AdventHealth (Maitland, FL)
- …will contribute:** This position is responsible for direct and indirect negotiation, review , and completion of assigned top-tier and mid-level tier payer contracts. ... initiatives as directed by AdventHealth leadership; managed care contract review , interpretation and analysis, negotiation, reporting, implementation for assigned… more
- Cognizant (Sarasota, FL)
- …delivery enablement** Experience of working closely with Duck Creek for solution review , estimate review , Delivery Assurance Audit, AMIs etc.** Experience with ... the Billing and Claims configuration knowledge, Data Insight, producer, policy holder will...for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off… more