- Cognizant (Tallahassee, FL)
- …sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims . This remote position offers the flexibility of ... our training regimen._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with… more
- Sedgwick (Miami, FL)
- …& Insurance Claims Advisor, Professional Liability | E&O, D&O, EPL | Remote Will handle complex executive , professional liability, error and omissions, and ... ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry best practices and… more
- Zurich NA (Maitland, FL)
- Executive Underwriter OR AVP, Underwriting Director - Excess Casualty 128851 Zurich is seeking an experienced Executive Underwriter OR AVP, Underwriting Director ... measured by gross written premium, profitability, and employee satisfaction! As an Executive Underwriter OR AVP, Underwriting Director - Excess Casualty you will… more
- Mass Markets (FL)
- …(TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider ... Positions EducationBachelor's Degree Min. Years Experience3 Company/BrandMCI Location : LocationUS-FL- Remote Career LevelExperienced DivisionBusiness Process Outsourcing Employment… more
- World Insurance Associates, LLC. (Miami, FL)
- …Market review analysis + Renewal rate and funding initial projections/modeling + Claims utilization review + Rate and contribution modeling + Benchmarking studies + ... maintain excellent relationships with carrier partners. + Draft client-facing executive summaries, including findings, observations, and recommendations. + Prepare… more
- Molina Healthcare (Jacksonville, FL)
- …in Connecticut** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. +… more
- Molina Healthcare (Jacksonville, FL)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a… more
- Molina Healthcare (Jacksonville, FL)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a… more
- Humana (Tallahassee, FL)
- …**Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana's ... and measurable value realization, especially when navigating complex, high-volume claims environments. + Partner closely with architecture, operations, compliance,… more
- Cardinal Health (Tallahassee, FL)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process , ensuring timely and accurate processing of ATSP ... cell & gene space (among other areas). The _Sr. Advisor, Payor Engagement Executive (Cell & Gene Specialty Pharmacy)_ will focus on payor engagement and negotiation.… more
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