- Trustmark (Tallahassee, FL)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... and minimum of 2 years of experience in handling claims appropriately in accordance with the corporate claim philosophy,...in the evaluation and coordination of process changes and training due to new workflows, automation and/or new products.… more
- Deloitte (Tampa, FL)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any… more
- University of Miami (Miami, FL)
- …Miami Health System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr . Analyst - Quality and Population Health. The Epic Sr . ... trainers on application changes and new features to develop documentation and training strategies. + Works with stakeholders, the business community, and end users… more
- University of Miami (North Miami, FL)
- …of Miami UHealth at SoLe Mia opening September 2025, will bring high- quality academic medicine to North Miami, Aventura, and surrounding communities. Our expert ... Access Department at SoLe Mia has an exciting opportunity for a Sr . Insurance Verification Representative The Sr . Insurance Verification Representative (H)… more
- University of Miami (Miami, FL)
- …. The department of Risk Management has an exciting opportunity for a full-time Sr . Manager, Risk Management to work onsite at the UHealth campus. CORE JOB FUNCTIONS ... HIPAA, and industry practices. + Coordinates and develops hospital-wide programs for quality patient care and risk-free services. + Liaises with attorneys, insurance… more
- University of Miami (Medley, FL)
- …University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Sr . Medical Biller to work in Miami, FL. The Senior Medical ... in appropriate system and assists supervising staff in maintaining quality control of data by identifying potential problems and...offering and implementing solutions. + Assists management with the training of new staff. + Runs reports weekly on… more
- University of Miami (North Miami, FL)
- …The University of Miami UHealth/SoLe Mia opening September 2025, will bring high- quality academic medicine to North Miami, Aventura, and surrounding communities. Our ... neurosurgery programs. UHealth/SoLe Mia has an exciting opportunity for a full-time Sr . Insurance Verification Representative (H) with a target hire in 6/30/2025. Be… 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...(related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare… more
- Molina Healthcare (Orlando, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. +… more
- Highmark Health (Tallahassee, FL)
- …reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- CHS (Clearwater, FL)
- …aspects of Claims , including procedures and use of technology. * Oversight of Claims Training programs, including training for new employees and ongoing ... for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions on… more
- The Hartford (Lake Mary, FL)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Global Financial Lines Errors and Omissions Claims Group currently has an open claim professional position in our Architects &… more
- The Hartford (Lake Mary, FL)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Hartford Global Specialty - Financial Lines Employment Practices Liability ("EPL") Claims Group currently has an open Claim Consultant/Professional position. As an… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within ... appropriateness, eligibility and coordination of benefits + Documents fully claims referred to senior staff for review...for review and determination + Maintains company production and quality standards + Participates in training **Other… more
- CenterWell (Tallahassee, FL)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- The Hartford (Lake Mary, FL)
- …Expense Containment Training - Create and administer litigation cost containment training to Claims .* Analysts will be expected to leverage their knowledge ... area, including Auto,General Liability, Property Damage/ Construction Defect and ProfessionalLiability claims .* All training will address topics such as billing… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Senior Health Outcomes Researcher - Remote **Job Description** The Health Outcomes Researcher ... focused on drug utilization, combined medical and pharmacy drug claims , with a view to the impact on patient...of Principal Health Outcomes Researcher, Principal Data Scientist, or Sr Dir Health Outcomes, define and document complex study… more
- Cherry Bekaert (Tallahassee, FL)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more
- United Therapeutics (Tallahassee, FL)
- …practices, you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training , Communications and Policy will ... experiences. Detail-oriented yet creative, you balance policy management with innovative training strategies that resonate across all levels of the organization. You… more
- Kemper (Lake Mary, FL)
- …Analyze management report data to identify trends that impact customer service, quality and profitability. + Proactively assess claims processes and develop ... technical expertise, staff development and guidance as well as provides training as appropriate and necessary. **Position Responsibilities:** + Facilitate severity… more