- Molina Healthcare (Orlando, FL)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Orlando, FL)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Orlando, FL)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …and processes provider invoices, reviews line-by-line entries, and submits to finance for payment . The UM Program Manager reconciles ARGOS Dependency Cases ... Salary: $65,000/year Position Summary: The UM Program Manager provides oversight and management of service authorization data validation, reporting and trend… more
- Lockheed Martin (Orlando, FL)
- **Description:** You will be the Program Management\-Subcontract Manager for the Rotary Wing Sensors program team\. Our team is responsible for managing ... the Apache M\-TADS program \. **What You Will Be Doing** As the Program Management\-Subcontract Manager , you will be responsible for leading a team of… more
- Molina Healthcare (Orlando, FL)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- Leidos (Orlando, FL)
- …to support the Advanced Battle Management System's (ABMS) Digital Infrastructure (DI) Network Manager program . In this mission we support the Department of Air ... at Leidos currently has an opening for a Configuration Manager Lead. This is an exciting opportunity to use...finalization and delivery of deliverables; oversee and maintain the integrity of Configuration Management (CM) + Work with the… more
- The Hertz Corporation (Orlando, FL)
- …someone who isn't working for you Join our team The Financial & Insurance Manager will interact with customers and build customer loyalty by assisting them with ... Sell finance and insurance products to customers and process payment Provide outstanding customer service that is memorable Train...the sales dept. in the absence of the store manager Submit paperwork to and obtain approval from finance… more
- Pep Boys (Orlando, FL)
- …is directly responsible for maintaining adequate shop productivity. The Store Manager will recruit, hire, develop, and provide inspirational leadership and direction ... related to all point of sale (POS) transactions, inventory integrity , reverse logistics and purchase for re-sale parts (OP)...and purchase for re-sale parts (OP) procurement and vendor payment practices. + Partner with the Fleet business team… more
- Molina Healthcare (Orlando, FL)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- Hilton (Orlando, FL)
- …Orlando International Airport\! We have 20 team members report to our Front Office Manager \. The ideal candidate holds 2 years in customer service\. Ability to work ... - for you and your family + Mental health resources including Employee Assistance Program + Best\-in\-Class Paid Time Off \(PTO\) + Go Hilton travel program :… more