- Trustmark (Tallahassee, FL)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- HealthEdge Software Inc (Tallahassee, FL)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including...**Must have 5+ years' experience working as a Product Manager on a Core Administrative Processing System** + Proven… more
- Ryder System (Tallahassee, FL)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- Ryder System (Tallahassee, FL)
- …by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ Job Description **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- Wolters Kluwer (Tallahassee, FL)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en-gb/solutions/legisway) **What We Offer: ** This Senior Field Sales Manager role offers growth potential ... remote schedule, and amazing benefits. **What You'll be Doing:** As our newest Legisway Senior Field Sales Manager , your primary responsibility will be the sales… more
- HealthEdge Software Inc (Tallahassee, FL)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- Zurich NA (Tallahassee, FL)
- …premium, profitability, and employee satisfaction! This role will be filled at either a Senior or AVP Underwriter level. The hiring manager will determine the ... E&S Excess Casualty Underwriter ( Senior or AVP) 116086 Zurich is currently looking...work on a hybrid basis and partner with your manager to set a flexible work schedule that supports… more
- Norstella (Tallahassee, FL)
- Senior Analytic Consultant Company: Panalgo Location: Remote, United States Date Posted: Sep 5, 2024 Employment Type: Full Time Job ID: R-475 **Description** ... the next level with the help of an outstanding Senior Analytic Consultant. The Analytic Services team is at...Minimum 2+ years of experience working as a project manager or equivalent. + Demonstrated strong analytical, organizational, and… more
- J&J Family of Companies (Tallahassee, FL)
- Strategic Intelligence Manager - 2406199376W **Description** Johnson & Johnson is currently seeking a **Strategic Intelligence Manager ** to join our **Abiomed** ... all belong. Abiomed is seeking a highly motivated **Strategic Intelligence Manager ** individual with strong analytical skills to collaborate with internal… more
- Wolters Kluwer (Tallahassee, FL)
- …increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience ... business outcomes. **Basic Function** This remote-friendly Account Management Team Manager , you will build a team to drive profitable...to the sales planning. You will report to the Senior Director, Account Management within the LR ELM division… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The Technical Product Manager is responsible for driving the development and management of technology-driven products and solutions that support ... feasibility, and user needs. + Works closely with values stream, platform manager , application support, and vendors to guide the product development process,… more
- Zurich NA (Tallahassee, FL)
- …This role will be filled at either theSenior or AVP Level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more
- Sedgwick (Tallahassee, FL)
- …systems with tight integration to SQL Server + Develop API Integration between claims management systems and various vendor and client systems in order to share ... clients and vendor partners + Develop extensive integration between claims management system and financial database application support all...test high quality software systems. + Work with IT Manager to ensure SQL and Web servers and systems… more
- CenterWell (Tallahassee, FL)
- …for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, QAPI ... + Previous experience in branch leadership (Branch Director/Administrator or Clinical Manager ) preferred. + Knowledge of HCHB preferred. **Scheduled Weekly Hours**… more
- CVS Health (Tallahassee, FL)
- …convenient and affordable. **Position Summary** Join CVS Health as an Actuarial Services Senior Manager , on the Medicare D Actuarial Services team. We are ... Minimum 5 years' experience working directly with healthcare client data analyzing pharmacy claims or other relevant data analysis * Experience with Medicare Part D,… more
- Prime Therapeutics (Tallahassee, FL)
- …depth perception and ability to adjust focus **Reporting Structure** + Reports to Manager , Director or Senior Director in the Consulting Analytics department ... experience conducting complex analysis on enterprise level data sets of pharmacy, claims , medical, and/or financial data + Extensive experience with analytic tools… more
- Highmark Health (Tallahassee, FL)
- …systems parameters to ensure accurate managed care operations (ie enrollment & billing, claims processing, etc.). This job supports one or more analytical aspects of ... Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Business Systems Analysts, as well as others outside of immediate… more