- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains ... critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements… more
- Cognizant (Tallahassee, FL)
- …+ Lead or contribute to RFP responses system architecture documents and implementation roadmaps. + Define and implement project roadmaps aligning business goals with ... technical execution. + Manage project risks proactively and implement mitigation strategies. **Qualifications** + Possess extensive experience in ESRI UN Architecture and GIS Infra Architecture demonstrating a strong technical foundation. + Have a proven track… more
- Anywhere Real Estate (Miami, FL)
- …design concepts. Work closely with the development team to ensure seamless implementation of designs. **Usability Testing and Iteration:** Plan and conduct usability ... testing sessions to validate design decisions. Analyze test results and feedback to refine and optimize the user experience. Continuously iterate on designs based on user feedback and changing requirements. **Design System and Guidelines:** Contribute to the… more
- Anywhere Real Estate (Jacksonville, FL)
- …our competitive advantages for the good of our franchisees. + **Thoughtful Implementation :** Partner with the relevant operations leaders to ensure viability and ... bring these new programs into existence. Operate with a test-and-learn mentality, piloting and iterating on each offering before entering a scaled rollout phase. + **Go-to-Market Strategy:** Craft and implement go-to-market plans, including market analysis,… more
- The Cigna Group (Tallahassee, FL)
- …retention & growth strategies as well providing expertise with implementation , reporting, and day-to-day service functions. **PRIMARY RESPONSIBILITIES:** + Retain ... assigned book of business. + Educate and consistently advance the knowledge of pharmacy with the Cigna medical sales organization. + Participate in client meetings and presentations to review client performance and offer and successfully sell in a suite of… more
- Sharecare (Tallahassee, FL)
- …Weekly 1on1 calls with direct reports **Client Responsibilities** + New client implementation and customized project management to meet client needs + Scheduling ... and/or attending calls and timely response communication with Client and internal Sharecare leadership including review and follow-up to daily report management + Prepare monthly portfolio presentations for senior leadership + Maintain process instructions and… more
- Cognizant (Tallahassee, FL)
- …addition, this position will be responsible for identification, collaboration, and implementation of process initiatives to reduce denials **Job Description:** + ... **Resolution of Claim Denials** : Perform advanced work related to resolving physician claim denials. + **Root Cause Analysis** : Identify the root causes of physician payer denials and implement solutions. + **NCCI Edits** : Understand procedures impacted by… more
- RELX INC (Boca Raton, FL)
- …business processes across development, sales/marketing, product, technology, professional services/ implementation , support, and other workstreams + Develop and ... maintain strong working relationships and strategic partnerships with key stakeholders/customers across divisions (may include external customers) to maximize program effectiveness and influence + Develop and lead cultural change efforts to integrate program… more
- Sharecare (Tallahassee, FL)
- …outcome of care and needs for participant education. + Develops and facilitates implementation of a care plan addressing the total healthcare needs of the ... participants. Specific focus and resources will be directed to the specific problem resulting in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or other… more
- University of Miami (Coral Gables, FL)
- …Investigates complex data integrity issues and leads the identification and implementation of solutions for misalignments with policies and procedures. Serves as ... a key resource in understanding system configurations to ensure alignment with business operations and policies. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and… more