- Kyndryl (Tallahassee, FL)
- …oversight of delivery, ensuring high performance and customer satisfaction **Leadership, Management , People:** + Lead by example; Fostering a culture of continuous ... vaccination policies. Those who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are**… more
- AdventHealth (Maitland, FL)
- … for all provider types Managed Care, Patient Financial services, health insurance claims processing, contract management , or medical economics experience ... language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more
- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health standards. + **Crew Medical Claims Management ** + Escalate high-risk crew cases to risk ... legal and regulatory risks, and logistical constraints. + Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure… more
- Carnival Cruise Line (Miami, FL)
- …health team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management ** + Review crew cases of high risk ... at domicile or regional centers of excellence. + Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure appropriate,… more
- City of Lakeland (Lakeland, FL)
- …wellness initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and ... administering a self-insured program. + Makes data-driven recommendations to the Risk Management and Purchasing Director concerning the City's insurance needs. +… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …**Core Content Development** + Under the guidance of the Associate Director , Medical Communications, draft and maintain high-priority, foundational scientific ... The Manager, Medical Core Content is a team-level operational role...external regulations. This position reports directly to the Associate Director , CNS Scientific Communications. **Job Description** **Key Responsibilities Include:**… more
- AdventHealth (Ormond Beach, FL)
- …systems. + Identifies and reports occurrences with potential claims to the Director of Risk Management per established protocol. + Leads and coordinates ... contribute:** The Patient Safety Coordinator (PSC) under the direction of the Director of Risk Management is responsible for implementation and coordination… more
- Cognizant (Tallahassee, FL)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The… more
- Carnival Cruise Line (Miami, FL)
- The Analyst, Global Risk Management will provide essential support to the Risk Management team in delivering accurate data and effective solutions across Marine ... etc.) + Review and distribute post-renewal documentation. + Monitor marine insurance claims and maintain accurate records. + Reconcile broker invoices and allocate… more
- Select Medical (Gainesville, FL)
- **Overview** **UF Health Rehabilitation Hospital** In affiliation with Select Medical Gainesville, FL **Human Resources Coordinator** Salary Range: $55K-$65K ... with the HR Manager and assists the department by providing daily management of the Human Resources function. They will perform confidential and administrative… more