- City of Jacksonville (Jacksonville, FL)
- …presumption files. + Manage complex workers' compensation litigation case files. + Reviews medical bills and other services for which claims are made for ... weeks off during your first year of employment? Do you want low and no cost health insurance options? If you answered "yes" to any of these questions, you need to… more
- MyFlorida (Tallahassee, FL)
- …* Experience in auditing, data analysis, or fraud detection. * Knowledge of claims processing and medical terminology. * Experience in creating, supporting, or ... HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date:...implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 859201 Agency: Department of Health Working Title: MEDICAL DISABILITY EXAMINER ... correspondence regarding the hiring process for this ad. TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY...on rules and regulations 3) Experience working in a medical or vocational field Florida Department of Health… more
- CVS Health (Plantation, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and… more
- Molina Healthcare (St. Petersburg, FL)
- …The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Sedgwick (Orlando, FL)
- …disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- AdventHealth (Altamonte Springs, FL)
- …clean claims rate + Performs peer-to-peer discussions with payer Medical Directors and/or discusses cases with payer representatives to facilitate claim ... Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining...as a liaison between UM and CM teams and medical staff, as well as, the medical … more
- Molina Healthcare (Jacksonville, FL)
- …Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- HCA Healthcare (Jacksonville, FL)
- …Do you want to join an organization that invests in you as a Medical Billing Specialist? At Surgery Ventures, you come first. HCA Healthcare has committed up ... Ventures offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- ChenMed (Miami, FL)
- …and execution of actions to improve those results). + Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership + Develops a ... and prioritize opportunities, and spot trends + Extensive knowledge of healthcare/ medical economics data such as hospital/physician /ASC claims , utilization… more