- USAA (Tampa, FL)
- …to provide this documentation may result in disqualification. ** As a dedicated ** Program Manager Lead for Claims Optimization** , you will lead the ... business needs into technical specifications. * Recent experience supporting Claims in a Program Management role. *...* Recent experience supporting Claims in a Program Management role. * PMP, Agile and Change Management… more
- CHS (Clearwater, FL)
- …claims as well as the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering ... **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies...liaison with clients for escalation of service issues or program questions, establishing a strong working relationship and client… more
- Molina Healthcare (St. Petersburg, FL)
- …they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span ... combination of education and experience **Required Experience** + 5-7 years of project/ program management with direct impact on Claims Operations (adjudication,… more
- Centene Corporation (Tallahassee, FL)
- …(SME) for claims operations, change control, and business implementations. + Lead Claims Process Change Control, including approval of process changes ... experience required **.** Master's Degree preferred. 5+ years experience in claims system/administration, healthcare operations, or program management required.… more
- USAA (Tampa, FL)
- …us special and impactful. **The Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible ... analytics, finance, and staff area leaders to identify, influence and lead cross departmental improvement efforts. + Identifies opportunities to document and… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. We are seeking a candidate to lead Plan and Benefit testing for DDAT-NextGen Claims . This role involves understanding ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our… more
- CHS (Clearwater, FL)
- …with appropriate leadership, with accuracy, and work with the MPS Call Center Manager /Supervisor/Team Lead and analyze the data for training purposes. + ... related to claims and calls and provides feedback to their Manager . + Maintains up-to-date working knowledge on regulatory requirements associated with billing… more
- TEKsystems (Daytona Beach, FL)
- …Beach office. + Career Advancement: Promotions available from Day 1 - mentor, team lead , supervisor, manager , and more. + Part of Brown & Brown Insurance: ... Now Hiring: Customer Support Representative - Claims Specialist Location: Daytona Beach, FL Pay: $18/hr...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- Towne Park (Lake Buena Vista, FL)
- …Benefits are subject to change and may be subject to a specific plan or program terms. **JOB SUMMARY** The Account Manager directly oversees one Tier 1 or ... privacy policy, please click here (http://www.townepark.com/wp-content/uploads/2023/06/CCPA-CPRA-Notice-at-Collection-Applicants\_Towne-Park-Careers.pdf) . The Account Manager directly oversees one Towne Park account and is… more
- Molina Healthcare (Orlando, FL)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more