- HCA Healthcare (Niceville, FL)
- …determine accuracy and completeness. Assesses and ensures adequate investigation process . Administers the Transitional Duty Program. Responsible for maintaining and ... health or other health-related field **LICENSURE/CERTIFICATION:** . Current state professional license as required by profession or certification/registration as… more
- Molina Healthcare (Miami, FL)
- …reviews, aligning with industry and corporate standards as well as the professional scope of a Payment Integrity Clinician. This includes assessing medical ... accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims… more
- Humana (Tallahassee, FL)
- …Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence Engineer will ... issues + Developing Policies & Procedures + Identifying automation and improvement opportunities + Researching and resolving provider reimbursement inquiries **Use… more
- AdventHealth (Daytona Beach, FL)
- …professional and collaborative relationships with the Interdisciplinary Team to sustain process improvement and attain hospital metrics. **The value you'll ... bring to the team:** + Supports the daily operations of the Care Management department (both Inpatient and Emergency Department settings). + Implements Corporate Care Management strategies. + Implements strategies with a focus on customer experience. + Ensures… more
- Citigroup (Tampa, FL)
- …provides insights to enhance business decision making capability in business planning, process improvement , solution assessment etc. + Recommends actions for ... The Data Analytics/Governance Sr. Lead Analyst is a strategic professional who closely follows latest trends in own field and adapts them for application within own… more
- Cardinal Health (Tallahassee, FL)
- …partners to deliver solutions for value-add business functions. + Collaborating with other process tower leaders (OTC, PTP, RTR, and non-SAP systems) to ensure a ... root cause analysis to identify and drive change that ensures continuous improvement in system stability and performance. + Demonstrates knowledge of software… more
- Citigroup (Tampa, FL)
- …data quality tool improvements. . Evaluate current procedures with an eye for process improvement to enhance productivity. . Assist in the remediation of ... overall Data Transformation. The Data Quality Senior Analyst is a seasoned professional role, that requires using analytical and technical understanding of how areas… more
- HUB International (Coral Gables, FL)
- …our employees. Our entrepreneurial culture fosters an environment of open feedback and improvement that empowers our people to make the best decisions for our ... but also assists members of the team. + Ability to always maintain professional manner. + High Degree of self-motivation, discipline, and discretion. + Advanced time… more
- University of Miami (Miami, FL)
- …(https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process . To learn how to apply for a faculty or staff ... in-services as directed. + Engages in learning opportunities to enhance professional knowledge and role maturation in oncology nursing including obtainment of… more
- Sedgwick (Orlando, FL)
- …state-level insurance regulations + Participate in coaching, quality reviews, and process improvement initiatives **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + ... **Key Responsibilities** + Answer approximately 40 inbound calls per day in a professional and timely manner + Support a wide range of customer needs, including:… more