- Molina Healthcare (Tampa, FL)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience...well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Elevance Health (Tampa, FL)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... satisfaction. + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Leads large scale initiatives… more
- Elevance Health (Tampa, FL)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Elevance Health (Tampa, FL)
- …management. + Respond to and resolve issues related to member/provider complaints, claims processing issues and appeals. **Minimum requirements:** + PharmD from an ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Elevance Health (Tampa, FL)
- …Capabilities, and Experiences:** + Previous experience in high-volume operations ( claims , customer service, enrollment and billing) strongly preferred. Please be ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Graybar (Fort Myers, FL)
- …and outgoing customer calls and written correspondence in a professional, timely manner, ensuring follow up on all customer issues + Take an active role in selling ... including order entry, pricing, expediting, billing, order maintenance, credit and claims **Skills & Requirements** + Strong communication skills + Ability to… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... to program 33013 by **01/02/2026** . Selection for this position will follow ASHP Match rules and eligibility guidelines. ASHP Match - natmatch.com… more
- Hirschbach Motor Lines (Dover, FL)
- …events like cookouts celebrating safety milestones + Comprehensive benefits package - medical , dental, vision, company-paid life and disability insurance , and ... parts, supplies, and repair stories precisely to support warranty claims and company records + Follow safety...support warranty claims and company records + Follow safety policies to maintain a safe, efficient shop… more