- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions on ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met.… more
- Bank of America (Miami, FL)
- Treasury - Senior Quality Analyst (Bilingual - English / Spanish (Portuguese a plus) Miami, Florida **To proceed with your application, you must be at least 18 ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Miami/Treasury Senior - Quality -Analyst--Bilingual English Spanish--Portuguese-a-plus-\_25030676-2) **Job Description:** At Bank… more
- Molina Healthcare (Tampa, FL)
- …and you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer ... grievances, and member communications. * Exposure to downstream domains: Enrollment, Claims , Pharmacy/PDE, Network, Stars quality metrics. * Proven record… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across… more
- Prime Therapeutics (Tallahassee, FL)
- …in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse ... Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …to: + Product Development: Conduct research on product appeal, sensory analysis, claims testing, and concept validation to guide the innovation pipeline. + Shopper ... needs and behaviors and inform targeted product development and marketing communications. + Audit and Elevate Current Practices: Conduct a comprehensive audit of… more
- Bank of America (Jacksonville, FL)
- …ensure effectiveness, and recommending process improvement and risk mitigation opportunities to senior management + Supports risk management and audit processes, ... the team executes operations tasks with accuracy, timeliness and quality service. Key responsibilities include employee training, coaching, addressing employee… more
- Cushman & Wakefield (Tampa, FL)
- …Facilities Manager and/or Assistant Facilities Manager reporting into it. The Senior Facilities Manager has the overall responsibility for overseeing the ... needs of the tenants, environmental health and safety, and quality programs, in coordination and conjunction with the goals...and future needs of the building and operations. The Senior Facilities Manager also has responsibility for the overall… more
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