- The Hartford (Sunrise, FL)
- …and continual improvement through Innovation Sprints and technical debt reduction. + Hands-On Coding : Lead teams while also performing hands-on coding to stay ... communication skills. + Industry Knowledge: Knowledge of P&C Insurance and low coding platforms (Duck Creek, Guidewire) is a plus. + AI Enthusiast: Experience… more
- Cognizant (Tallahassee, FL)
- **Tech Transformation Associate Six Sigma & RPA ( Remote )** Cognizant is looking to hire an experienced Tech Transformation Associate with Six Sigma and RPA Drive ... and conduct High Level Process and Technical Feasibility Assessment. Work model: Remote We strive to provide flexibility wherever possible. Based on this role's… more
- Wolters Kluwer (Tallahassee, FL)
- Senior Field Sales Manager- Remote Work with Healthcare Providers, Payers, Consultants, Insurance Companies, Corporations and State/Local Government Agencies to sell ... and maintain Wolters Kluwer Healthcare Regulatory & Coding Solutions. **_ This position will work from a remote office and can be based anywhere in the US_**… more
- Sedgwick (Tallahassee, FL)
- …in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take on ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
- SitusAMC (Tallahassee, FL)
- …toward goals; acknowledges team accomplishments. + Ability to work independently in a remote work environment. + Understanding of ADO, WLS, and SQL coding ... related to AML, funds transfer policies, client confidentiality and data security. \#LI-AS1 #LI- Remote Note: This job description is not intended to be all inclusive… more
- Molina Healthcare (Miami, FL)
- …requirements and converting these terms to configuration parameters. + Handles coding , updating and maintaining benefit plans, provider contracts, fee schedules and ... and needs of user community. + GA Medicaid claims/ reimbursement/ coding experience is highly preferred **JOB QUALIFICATIONS** **Required Education** Associate… more
- Sedgwick (Tallahassee, FL)
- …Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** : To analyze complex or ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible for the intake and initial ... data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more
- Prime Therapeutics (Tallahassee, FL)
- …make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization ... formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.). + Proficiency in Pharmacy… more
- SitusAMC (Tallahassee, FL)
- …Jenkins, Git, Bitbucket, or similar tools + Interest and ability to learn other coding languages as needed + Strong communication skills both written and verbal + ... LangGraph for GenAI pipeline development + Vector store integration for RAG \#LI-AS1 #LI- Remote Note: This job description is not intended to be all inclusive or… more
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