- Molina Healthcare (Miami, FL)
- …operational efficiency and decision-making capabilities. * **RAG Pattern Utilization :** Employ retrieval-augmented generation patterns to improve the performance ... Tableau, Power BI) to present complex data insights effectively. * Database Management : Experience with SQL and NoSQL databases, data warehousing, and ETL processes.… more
- VCA Animal Hospitals (Miami, FL)
- …a comprehensive range of diagnostic procedures through in-house testing and the utilization of external laboratories. Our facility is also equipped with digital ... duties, responsibilities, and qualifications required of associates assigned to this job. Management reserves the right to revise the job description or require that… more
- Cognizant (Tallahassee, FL)
- …to meet internal and external SLAs. + Other duties as assigned by management . **Qualifications:** + A minimum of 2 years' claims processing experience is required. ... Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare… more
- Molina Healthcare (FL)
- …operational efficiency and decision-making capabilities. * RAG Pattern Utilization : Employ retrieval-augmented generation patterns to improve the performance ... Tableau, Power BI) to present complex data insights effectively. * Database Management : Experience with SQL and NoSQL databases, data warehousing, and ETL processes.… more
- Fiserv (Coral Springs, FL)
- …+ Experience in working directly with clients, and internal/external resources. + Utilization of Microsoft Office tools, including MS Project and PowerPoint + ... Ability to work independently with minimal management /mentorship. **What would be great to have:** + Proven success in current role and client satisfaction mindset.… more
- Acxiom (Tallahassee, FL)
- …being sold and technical expertise to drive and increase adoption and utilization of Acxiom's products. Demonstrates product features beyond central functionality to ... Healthcare industry. + Multi-functional leadership experience (Consulting, BPO, General Management , etc.) + Experience in Marketing and Marketing Technologies,… more
- Deloitte (Jacksonville, FL)
- …+ Prepare self-insured financial projections and support health plan management , including financial reporting, premium rate setting, and employee contributions. ... by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + Act… more
- Robert Half Technology (Jacksonville, FL)
- …to enhance business operations. This role requires expertise in CRM management , automation, reporting, and system integrations to ensure seamless workflows and ... with teams across the organization to define workflows and improve system utilization . * Manage integrations between HubSpot and other business tools to enhance… more
- Sedgwick (Tallahassee, FL)
- …physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS ... or university preferred. **Experience** : 4 years of Liability claims management experience or equivalent combination of education and experience required. **TAKING… more
- Robert Half Technology (Jacksonville, FL)
- …align with business needs and application architecture * Collaborate closely with management or senior analysts to ensure alignment with departmental practices * ... users * Maintain a focus on performance tuning and integration tools, utilization of application engine, SQR, component interface, application design and PeopleCode… more