- USAA (Tampa, FL)
- …be a part of what makes us so special! **The Opportunity** We are currently seeking a dedicated Manager , Claims Operations - DCT ( Dedicated CAT ... assistance is not available for this role. **What you'll do:** As a Manager , Claims Operations , you will lead and be accountable for auto, property,… more
- USAA (Tampa, FL)
- …contracts. + Using data analytics, in partnership with actuary and analytics team and Claims Operations leaders, report on team health to drive business results, ... makes us so special! **The Opportunity** We are seeking dedicated Managers for our Claims Auto Bodily...team + Experience applying advanced knowledge to partner with Claims Operations and provide guidance for complex… more
- USAA (Tampa, FL)
- …be a part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior. This position is a hybrid work ... colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts...May serve as assistant to the Director of Litigation Operations and assigned to work on special projects and… more
- Elevance Health (Tampa, FL)
- **Pharmacy Data Claims Analyst & Insights (Business Analyst II)** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate ... lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Data Claims Analyst & Insights (Business Analyst II)** is responsible for translating… more
- Kelly Services (Tampa, FL)
- **Account Manager ** **Location: Tampa, FL - Hybrid** **Salary: $70,000-90,000** **Direct Hire Opportunity!** **Kelly** has an amazing opportunity for an experienced ... and successful **Account Manager ** to join a leading **3rd party Health Benefits...administration by assisting current and new clients with questions, claims , and billing issues to successful resolution * Manage… more
- Elevance Health (Tampa, FL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...and implements new or revised methods to improve the operations . **Minimum Requirements:** + Requires a AA/AS and minimum… more
- Elevance Health (Tampa, FL)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... software strongly preferred. + Knowledge of systems capabilities and healthcare business operations preferred. + SQL experience preferred. + ASC X12 837 EDI… more
- Elevance Health (Tampa, FL)
- …Experiences:** + Prior experience with provider network contracting, provider networks, claims , finance, and operations . + Experience with Medicaid, Medicare, ... efforts, new products, annual benefit design participation, and financial operations . + Develops, manages, oversees, and executes new and...Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making… more
- Elevance Health (Tampa, FL)
- …Mgr is responsible for connecting Stop Loss strategy with business operations , drawing from disciplines such as strategy development, business analysis, process ... management, and operations analysis. **How will you make an impact:** +...stop loss distribution partners including agreement negotiations, product capabilities, claims processes, new client implementation processes, standard policies, etc.… more
- Elevance Health (Tampa, FL)
- …preferred. + Prior experience with provider network contracting, provider networks, claims , finance, and operations . + Experience with Medicaid, Medicare, ... Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more