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... The primary responsibility of the Claims Specialist position is to provide ... life of the claim. The Claims Specialist directs the management of ... Specialist directs the management of..
Description The Claims Research & Resolution Professional 2 ... & Resolution Professional 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Description The Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 2..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
The United States Attorney's Office for the Northern District of Florida is responsible for representing the federal government in all litigation involving the United States in the Northern District of Florida. ..
Job Information Humana Associate Director, Provider Data Interoperability in Tallahassee Florida Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Description Responsibilities This role may be completely remote from anywhere in the US, or onsite/hybrid from Louisville, KY. The Associate Actuary, Valuation is responsible for estimates of reserves required for unpaid ..
Description The HPS Release Management Engineer 2 manages cross-organizational efforts required to introduce applications and infrastructure changes into the production environment. The Release Management Engineer 2 work assignments are varied and ..
Associate - Workers' Compensation The candidate File review and legal analysis of claims and causes of action. Perform extensive legal research and drafting of substantial briefs, memos, pleadings, and appellate briefs. ..
Description The Claims Processing Representative reviews and adjudicates ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative performs..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Legal Billing Reviewer II The candidate conducts a thorough review of litigation-related invoices submitted by outside retained counsel to ensure the charges are reasonable and in compliance with billing guidelines, as ..
Job Information Humana Claims Review Representative 2 in Tallahassee ... in Tallahassee Florida Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Description The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications. The Business Systems Analysis ..
A law firm is seeking a dynamic and experienced individual to fill the position of Insurance Coverage Managing Partner in its Tallahassee office. The successful candidate will lead the insurance coverage ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Paralegal – 1st Party Property And Liability The candidate should be an Insurance Defense paralegal with 3+ years of experience for our Tallahassee office – 1st Party Property and Liability background ..
Description The Claims Educator is responsible for ensuring ... ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of ... resubmissions, and overall adjudication of..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description Claims Research & Resolution Representative 2 ... Where you Come In The Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of a group..
Job Information Humana Provider Reimbursement Professional 2-Remote in US in Tallahassee Florida Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
