UNKNOWN

FEED

Responsibilities range from ensuring the safety of food service, maintaining the integrity of real estate transactions, furthering the transparency of condominium governance, and overseeing the qualifications of licensure that ensure work requiring a skilled professional is performed safely and sufficiently. Background Screening Requirement: The Florida Department of Business and Professional Regulation requires all job applicants, interns, volunteers and contractors to pass a Level 2 background check as per Chapter 435, Florida Statutes which consists of fingerprinting and a check of local, state, and national law enforcement records.

Government of Florida

FINANCIAL EXAMINER/ANALYST II - 79001478

Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Stay apprised of industry trends through review of business journals, industry publications, etc. to determine impact on insurers in State and continue to improve focus and execution of the financial analysis process regulatory.

YEAR

FINANCIAL EXAMINER/ANALYST II - 43000340

ADAPTED_NOW

The role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.

OUR MISSION is to be the partner of choice for government agencies by providing a solid foundation, quality processes, and precise outcomes through rapid recruitment and deployment of personnel services.

OUR VISION is to create a culture by empowering people to be treated as partners in order to create effective solutions in which we can all call OUR SUCCESS.

OUR NAME "Loyalty is willing in that it is freely given, not coerced. It is chosen after personal consideration, not something that one is born into. Loyalty is practical in that it is practiced. It is actively engaged upon, not passively expressed merely as a strong feeling about something. Loyalty is thoroughgoing in that it is not merely a casual interest but a wholehearted commitment to a cause." – Royce

Loyal Source

Examiner Physician Assistant

Specialized experience includes experience working effectively with various levels of individuals inside and outside an organization, Microsoft Office suite of applications and other training programs, evaluating program effectiveness and making necessary improvements when necessary, and managing national learning management systems and training records. Works with senior employee and managers to coordinate and negotiate intricacies of claims processor and examiner training that significantly impacts service to Veterans and determines the best course of action to address identified training needs and to incorporate new initiatives, technology, and software developments related to the C&P process at the field level.

U.S. Department of Veterans Affairs

Program Analyst (Training Analyst)

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.

HOUR

ICW Group

First Notice of Loss Processor

To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Keeps VP/Assistant Vice President of Claims informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to VP/Assistant VP of Claims for direction.

Based in Atlanta, Georgia, Crawford &amp; Company is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. 

The Crawford System of Claims Solutions(SM) offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines, including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration 

The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.

Crawford & Co

Team Manager- Disability

The role is ideal for someone with experience in medical billing, insurance accounts receivable, claim follow-up, denial management, payment research, or other revenue cycle functions who is ready to expand their knowledge and contribute within a growing organization. The successful candidate will be comfortable researching claim issues, communicating with insurance companies, documenting follow-up activity, and taking ownership of accounts through resolution.

Glycare

Senior Billing Specialist

Brightmove

Team Manager - Liability

Knowledge of UB04 / CMS1500 claims, ICD-10 / Revenue / CPT / HCPCS diagnosis and procedure coding, claim adjudication processes, EDI and OCR claim submission, Medicare and Medicaid reimbursement methodologies including APR DRG / Exempt Units / APG / RBRVS / APC. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

Independent Living Systems LLC

Configuration Analyst

Able to successfully complete a DOT physical and secure medical certification during pre-hire contingency and be able to maintain a minimum of a 90 day Medical Examiner’s Certification (MEC) card, Associate’s degree or equivalent in Engineering, Maintenance, Construction Management, or related area., Experience using intermediate level functionality of word processing, spreadsheet, email, and presentation software (for example, Word, Excel, Outlook, PowerPoint).,

What started small, with a single discount store and the simple idea of selling more for less, has grown over the last 50 years into the largest retailer in the world. Each week, nearly 265 million customers and members visit our more than 11,200 stores under 55 banners in 27 countries and eCommerce websites in 10 countries. With fiscal year 2018 revenue of $500.3 billion, Walmart employs over 2.2 million associates worldwide. Walmart continues to be a leader in sustainability, corporate philanthropy and employment opportunity. It’s all part of our unwavering commitment to creating opportunities and bringing value to customers and communities around the world.

Walmart

Technician, Facility Services, Exterior Services-DOT

The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health

Special Investigation Unit Lead Review Analyst II (Aetna SIU)

Performs several services including, but not limited to, studying and evaluating internal controls, reviewing operating practices to promote increased efficiency and economy, conducting audits in accordance with audit plans approved by the Governing Board annually, carrying out certain investigative duties and responsibilities, and perform the applicable duties of state agency inspectors general as provided in s. Five or more years of progressively responsible experience as an inspector general; managing programs for prevention, examination, detection, elimination of fraud, waste, abuse, mismanagement, malfeasance, or misconduct in government or other organizations; administration and management of complex audits and investigations; electronic data processing auditor, or any combination thereof.

Our mission: To safeguard and restore South Florida's water resources and ecosystems, protect our communities from flooding, and meet the region's water needs while connecting with the public and stakeholders. 
The South Florida Water Management District is a regional governmental agency that manages the water resources in the southern half of the state, covering 16 counties from Orlando to the Florida Keys and serving a population of 9 million residents. It is the oldest and largest of the state's five water management districts. Created in 1949, the agency is responsible for managing and protecting water resources of South Florida by balancing and improving flood control, water supply, water quality and natural systems.
A key initiative is restoration of the Everglades – the largest environmental restoration project in the nation's history. The District is also working to improve the Kissimmee River and its floodplain, Lake Okeechobee and South Florida's coastal estuaries.

South Florida Water Management District

Inspector General

Position Purpose: The Pharmacy Technician may perform duties in one or more of the following areas: Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center, Medicare Part D/Part B, Appeals, Medicare Part D Operations and State Health Programs Pharmacy Operations or Prior Authorization. Prior Authorization: " Reviews requests made by physicians and pharmacies for use of prescription drugs that are non-formulary, have prior authorization requirements, have exceeded quantity or cost limits, or require assistance in on-line processing of a prescription claim.

Mindlance

Clinical - Pharmacy Technician 1 - 700357

jobdiva

Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.

Centene Corporation Group

SIU Investigator

They will deal directly with claimants and claimant's representatives in routing calls to appropriate DDS staff, sending out correspondences by fax or mail and making outgoing calls to ask investigative questions, such as gathering work history and functional information. All required information must be reviewed in the appropriate systems (i.e., Social Security Administration (SSA) system (DCPS), PCOMM and eView) for completeness and accuracy and documented on the Electronic Worksheet (EWS) when appropriate.

OPS RECORDS ANALYST - 64801620

Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. In this role, you will partner closely with FAS leadership and engagement teams to identify and address professional, regulatory, and operational risks early, while developing practical controls, workflows, and training that support engagements from intake through case closure.

EisnerAmper

Risk Management Senior Manager, Financial Advisory Services

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Risk Management Manager, Financial Advisory Services

TAG EisnerAmper, LLC (Inactive)

Convene leaders from key operational areas (such as SIU, claims, program integrity, provider network, pharmacy, member services, and IT) to ensure that PHW has compliant end to end workflows and process for providers and members with regard to identifying, investigating and corrective actions for fraud. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective.

Senior Compliance Analyst

Position Purpose: The Pharmacy Technician may perform duties in one or more of the following areas: Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center, Medicare Part D/Part B, Appeals, Medicare Part D Operations and State Health Programs Pharmacy Operations or Prior Authorization. Prior Authorization: "Reviews requests made by physicians and pharmacies for use of prescription drugs that are non-formulary, have prior authorization requirements, have exceeded quantity or cost limits, or require assistance in on-line processing of a prescription claim.

Claims Examiner Jobs in Florida

FINANCIAL EXAMINER/ANALYST II - 79001478 Government of Florida

FINANCIAL EXAMINER/ANALYST II - 43000340 Government of Florida

Examiner Physician Assistant Loyal Source

Program Analyst (Training Analyst) U.S. Department of Veterans Affairs

First Notice of Loss Processor ICW Group

Team Manager- Disability Crawford & Co

Senior Billing Specialist Glycare

Team Manager - Liability Crawford & Co

Configuration Analyst Independent Living Systems LLC

Technician, Facility Services, Exterior Services-DOT Walmart

Special Investigation Unit Lead Review Analyst II (Aetna SIU) CVS Health

Inspector General South Florida Water Management District

Clinical - Pharmacy Technician 1 - 700357 Mindlance

SIU Investigator Centene Corporation Group

OPS RECORDS ANALYST - 64801620 Government of Florida

Risk Management Senior Manager, Financial Advisory Services EisnerAmper

Risk Management Manager, Financial Advisory Services EisnerAmper

Risk Management Manager, Financial Advisory Services TAG EisnerAmper, LLC (Inactive)

Senior Compliance Analyst Centene Corporation Group

Pharmacy Technician 1 - 700357 IMCS Group Inc

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