- Molina Healthcare (FL)
- …regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews ... medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. +… more
- Molina Healthcare (FL)
- …use in presentations and audits. Researches claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews ... medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. +… more
- Molina Healthcare (Orlando, FL)
- …and test analytics, enforcing test quality standards, and providing whole project support and oversight. In addition to integration with other projects. Responsible ... for accurate and timely creation and execution of UAT test artifacts and tasks. **Knowledge/Skills/Abilities** + Works closely with customer to develop requirements for major projects of considerable complexity. + Prepares general system design specifications.… more
- HD Supply (Tallahassee, FL)
- …visits, and industry events across the region + Demonstrated ability to support key customer growth and category penetration for the Specialty Business, including ... accountability for sales growth, training on products and offerings, fostering executive-level relationships, collaborating with finance on contracts, and working with merchants on assortments and strategic initiatives + **5+ years of experience in sales** ,… more
- Molina Healthcare (FL)
- …Leads and directs team that provides strategic, process improvements, and operational support to advance the goals and objectives of the Integrated Duals program. ... Supports integrated duals product development in collaboration with enterprise and health plan teams. Supports integrated teams in continual process improvement, identifying opportunities, driving projects and implementation efforts around enhanced/new… more
- Carrington (Jacksonville, FL)
- …a timely and appropriate manner. + Provide legal and administrative support to departmental staff, including scheduling meetings, managing phone communications and ... assisting with projects Maintain calendar of events and key deadlines. + Conduct factual research including gathering relevant information from a variety of resources. + Assist with resolving cases by gathering and organizing information needed for assessing… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to ... minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted… more
- Insight Global (Juno Beach, FL)
- …regarding technical matters pertaining to individual's field. Provides technical support to project developers and peer engineering disciplines. Incorporates ... feedback from operating engineers for failure mitigation and quality improvement. Performs system and factory acceptance testing for new controls and system mods and upgrades. Provides technical leadership in the functional specification, design,… more
- RELX INC (Boca Raton, FL)
- …accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact ###. Criminals may pose as recruiters asking for ... money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here . Please read our Candidate Privacy Policy . We are an equal opportunity employer: qualified applicants are… more
- TEKsystems (Fort Walton Beach, FL)
- …a good portion of the year. Skills Router, Firewall, Troubleshooting, Support , Infrastructure, CCNA, Cisco routers, Network engineering, Cabling, Wan, Cisco ... switches, Switches, Data center Pay and Benefits The pay range for this position is $36.00 - $40.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may… more