- Molina Healthcare (Tampa, FL)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment, value-based care models, or healthcare performance metrics + Understanding… more
- Ryder System (Miami, FL)
- …to ensure compliance with GAAP and SOX . Provide accounting support to Risk Management . Coordinate and collaborate with actuarial specialists, captive broker and ... claims system vendor 1 . Conduct in-depth financial analysis to provide insights for senior management and facilitate data-driven decision making . Lead, mentor, and… more
- Trinity Health (Fort Lauderdale, FL)
- …and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system ... knowledge of healthcare insurance, patient billing and collection practices, and at- risk and capitated payments.** **Ability to work remotely from home following… more
- Walmart (Live Oak, FL)
- …and quarterly budget reports working with contractors and estimators to resolve claims reviewing and approving contractor payments change orders and invoices and ... an environment that supports learning innovation and learning from mistakes and intelligent risk taking and exhibits resilience in the face of setbacks + Strive for… more
- CHS (Clearwater, FL)
- …3 calls per week for MPS Representative will be audited by the Enterprise Risk Management (ERM) with accuracy a critical measure. + Adhering to Company standards to ... + High school graduate or equivalent. + Knowledge of medical terminology, billing, claims and the health insurance industry is STRONGLY preferred but not required.… more
- EFI Global (Tallahassee, FL)
- …**Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional ... failure analysis and forensic engineering plus 2 years in insurance and/or risk management services industry.** **Skills & Knowledge** **Excellent oral and written… more
- NextEra Energy (Juno Beach, FL)
- …tax technology tools and data management solutions to automate and reduce risk related to forecasting **Preferred Tax Qualifications** + The successful candidate ... * Researches inquiries from government agencies regarding filings, compliance, and other claims * Prepares tax calculations to support tax controversy analyses *… more
- Traylor Bros., Inc. (Bradenton, FL)
- …and special terms and conditions. . Experienced with proven results in claims management and dispute resolution. . Experience with Design-Build, EPC, ECI, CMAR, ... project risks and makes recommendations for mitigation measures; maintains a project risk register. . Inspects work in progress to ensure that workmanship conforms… more
- Aflac (FL)
- …and services; using established underwriting criteria and rating methodologies, analyzes risk and financial data to underwrite new business opportunities for medium ... to optimize retention, growth and profit + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan… more
- ENFRA (Orlando, FL)
- …all additional pricing quoted to customers, including change orders, back charges, claims , and anything that changes contract. + Resolves cost-related issues between ... + Identifies and monitors upcoming Project Managers. + Tracks and reports on risk management (cert, of insurance, bonds of subs, safety, theft). + Assures customer… more