- Cleveland Clinic (Weston, FL)
- …improvement. + Apply management processes for disclosure of unanticipated outcomes and medical errors. + Frequently present risk and safety data and efficiently ... leads meetings. + Identify cases that may be potential claims and provide an early notification to other departments...departments (Law, ERI) once identified. + Present cases to Medical Legal, Huddle I and Huddle II in a… more
- City of Jacksonville (Jacksonville, FL)
- …renders opinions as to their legal validity and/or acceptability. + Investigates claims and complaints by or against the Consolidated Government and recommends ... meet the diverse needs of our employees. Our comprehensive benefit programs include medical , dental and vision plans; life insurance coverage for you and your… more
- Sumitomo Pharma (Tallahassee, FL)
- …Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With ... optimization of reporting solutions for all field-based teams, including Sales, Medical Affairs, and Account Management. This individual contributor role is critical… more
- Jacobs (Tampa, FL)
- …HCAA for review and recommendation for best practices related to construction health and safety Provide administrative liaison and coordination with the client ... and ongoing maintenance to the department and program related Health and Safety plans Monitor the project safety management...metrics on a monthly basis and contribute site activities, claims information, and metrics to the client monthly report… more
- Thrivent Financial (Tallahassee, FL)
- …revenue streams, and dedicated planning fees for those who qualify. + Medical , dental, vision, disability and accidental death and dismemberment insurance. + ... Pension, 401(k) and retiree medical plans. + Ongoing support, training and opportunity for...to help you manage your physical, emotional and financial health . + Gift matching program to double your contributions… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... management Requirements + In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage. + 2 to 5 years of benefit investigation… more
- WTW (Miami, FL)
- …benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), ... + **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… more
- MyFlorida (Orlando, FL)
- …but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable ... investigate the alleged misappropriation of patients private funds in health care facilities, and safeguarding the privacy rights of...all individuals to prevent improper or illegal use of medical information. This position is subject to the MFCU… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medicaid Pricing Actuary provides actuarial support across a broad range of actuarial and ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- WTW (Miami, FL)
- …benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), ... teams of consultants across WTW, including brokers, service colleagues, and claims advocates, to deliver efficient and effective support. This role requires… more