- Citigroup (Tampa, FL)
- …process improvements * Develop and maintain spreadsheets and databases * Process payment and accounting entries * The ability to work within tight deadlines ... * Compile metrics for weekly & monthly reporting to seniors * Reconcile general ledger accounts and investigate discrepancies * Perform MCA testing for monthly internal compliance requirements * Comply with Citi policies * Act as a back-up team lead for day to… more
- Molina Healthcare (Tampa, FL)
- …deep understanding of Molina claims life cycle and all processes that affect claims payment + Develops and maintain standards and best practices for the team + ... Mentors junior analysts + Participates in or leads project meetings + Understands QNXT, AutoQ, and MCG functionality and schema + Determines if a project is AutoQ, MCG, or other + Writes Requirements for BRDs/FRDs and Reports without needing mentoring +… more
- American Express (Sunrise, FL)
- …of work experience at a financial services institution, retail/commercial bank, or payment processing institution in any of the following areas: AML/BSA, financial ... crimes compliance, enhanced due diligence, screening/sanctions risk management, and/or operational risk + Proven analytical skills and demonstrated ability to research, assess, interpret, resolve, and remediate issues with regulatory impact + Excellent… more
- Ryder System (Tallahassee, FL)
- …online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the ... formal submitted application through www.ryder.com/careers . Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at ###@ryder.com or ###. **Current… more
- CVS Health (Tallahassee, FL)
- …of healthcare fraud, waste and abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and ... customers. + Researches and prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by… more
- American Express (Sunrise, FL)
- …of work experience at a financial services institution, retail/commercial bank, or payment processing institution in any of the following areas: AML/BSA, financial ... crimes compliance, know-your-customer (KYC), enhanced due diligence, screening/sanctions risk management, and/or operational risk + Proven analytical skills and demonstrated ability to research, assess, interpret, resolve, and remediate issues with regulatory… more
- CVS Health (Tallahassee, FL)
- …provider groups in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - ... Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in case tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates the recovery of company lost… more
- Intermountain Health (Tallahassee, FL)
- …responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures. Scope ... 1.Analyze data, develop reports, review trends, and recommend enhancements as defined by the RI leadership team. Proactively seeks out positive or negative trends in charge/coding capture and editing processes to facilitate the sharing of best practice and… more
- MUFG (Tampa, FL)
- …processing of transactions and proper booking of exposure and release of payment + Ensure the instructions from front/middle offices and Standard Operating ... procedures are properly executed in accordance along with Standard Service Level Agreement. + Enforcement of all operational procedures and controls. To assist the Section and department in achieving its goals. **The incumbent is assigned the following… more
- Molina Healthcare (Tampa, FL)
- …+ Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze results to identify early ... signs of trends or other issues related to risk scores. + Design and maintain risk score models. + Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting. + Extract and compile information from various… more