- Molina Healthcare (Jacksonville, FL)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Jacksonville, FL)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- GE Aerospace (Jacksonville, FL)
- …aftermarket customers, Unison designs, manufactures and supplies the most advanced components and systems in the world. As a Senior Sourcing Commodity Manager, ... to Procurement and ensure seamless communication across teams. + Manage supplier claims and resolve issues to maintain strong supplier relationships. + Perform… more
- Molina Healthcare (Jacksonville, FL)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst, Healthcare Analytics role will be responsible...I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data… more
- Molina Healthcare (Jacksonville, FL)
- … systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Bank of America (Jacksonville, FL)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Tampa, Florida; Jacksonville, Florida; Charlotte, North Carolina; Phoenix, Arizona **To proceed with ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Fraud-Analytics-and-Innovation- Senior -Analyst\_25019343-2) **Job Description:** At Bank of America, we are… more
- Wounded Warrior Project (Jacksonville, FL)
- …benefits and claims . + Cultivate and maintain strategic relationships with senior leaders at the VBA, VHA, DoD, other federal agencies, and like-minded nonprofit ... Relations efforts in the National Capital Region by strengthening relationships with senior leaders at the VBA, VHA, DoD, other federal agencies, and National… more
- Molina Healthcare (Jacksonville, FL)
- …that internal teams and delegated vendors must follow, and you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and ... gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior individual contributor with the charter to build a focused CTM… more
- Bank of America (Jacksonville, FL)
- …expand our capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login events hold an ... deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst- This job is responsible for performing complex analyses of online… more
- HD Supply (Jacksonville, FL)
- …account statements. + Performs basic data entry and general research of data within the department systems necessary to update and maintain account ... for follow-up and routes unresolved items to the appropriate departments. + Verifies data entry of account information in multiple systems . Clears and matches… more
- Crowley Maritime Corporation (Jacksonville, FL)
- …controls for the corporation. * Manages the Payroll function, Insurance accounting, Claims Management, financial close cycle, fixed asset life cycle and related ... experience). * *CPA required; MBA preferred*. *Experience*: * 10 years of senior -level experience in controllership or finance leadership roles. * Proven record of… more