- 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
- 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
- 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
- Molina Healthcare (St. Petersburg, 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
- Sedgwick (Tampa, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Capture Manager **PRIMARY PURPOSE OF THE ROLE** **:** The Capture Manager serves ... Partnership team with responsibility across the full sales cycle. The manager gathers and analyzes business intelligence, develops pipeline forecasts, and leverages… more
- Jacobs (Tampa, FL)
- … claims and risks, initiate claims , dispute resolution, and respond to claims notifications. * Interface with the AD lead and Operations. * 10+ years' ... If so, we have an incredible career opportunity for you as a Commercial Manager , Design/Build Water Market! We are looking for a dynamic Commercial Manager … more
- HNTB (Tampa, FL)
- …a project's scope of work and objectives. In collaboration with the Project Manager , they will take appropriate measures to ensure full adherence to applicable ... Project Controls group, and the Enterprise Operations Contracting & Claims (EOCC) and Risk Management Groups (ERM). + Works...for all potential changes. Work closely with the Project Manager and project controls staff to quantify all cost… more
- GE Aerospace (Clearwater, FL)
- …that affects the lives of millions around the world! As a Contract Performance Manager , you will have a major impact on GE profitability through owning overall ... and overall supplier accountability. In this role, you will create and lead operational rhythms with internal and external stakeholders to drive mutually successful… more
- EMCOR Group (Tampa, FL)
- …to ensure work complies with drawings and specifications. + Supports the Project Manager in the negotiation of claims and changes. + Provides input ... and communication skills. The Field Superintendent must be motivated, be willing to lead and instruct others, and be participatory in a team environment. This… more
- HCA Healthcare (Trinity, FL)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... .You will facilitate and direct organizational wide risk management program to ensure compliance with statutory mandates, regulatory requirements and… more
- HCA Healthcare (Sun City Center, FL)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... . You will facilitate and direct organizational wide risk management program to ensure compliance with statutory mandates, regulatory requirements and accreditation… more
- Elevance Health (Tampa, FL)
- …for various operational or clinical aspects of the CarelonRx pharmacy program , including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug ... management. + Respond to and resolve issues related to member/provider complaints, claims processing issues and appeals. **Minimum requirements:** + PharmD from an… more