- 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)
- …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
- USAA (Tampa, FL)
- …employee and their manager . **The Opportunity** + We are currently seeking dedicated professionals **to work in our Tampa office** for future claims customer ... special! It is all about learning and growing. Our Claims Customer Service role may be a new career...with insurance needs. + Support workload surges and catastrophe operations during designated catastrophic events. + Ensure risks associated… 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)
- ** Operations Expert** **Location:** Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Roanoke, VA, Houston, TX, Columbus, GA, Deerborn, MI, ... WI, Miami, FL, or Tampa, FL, or Winston-Salem, NC, PulsePoints. The ** Operations Expert** is responsible for providing technical direction, guidance and resources to… more
- Elevance Health (Tampa, FL)
- ** Operations Expert** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Des Moines, IA or Mason, OH.** The ** Operations Expert** is responsible for ... providing technical direction, guidance and resources to claims , customer service, or membership associates on a day-to-day...Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making… more
- USAA (Tampa, FL)
- …a part of what makes us so special! **The Opportunity** **The Opportunity** As a dedicated **Product Development Manager ** you will part of a team developing new ... related to product development, compliance, operational and process improvements, claims management, vendor management, product documentation, fulfillment, and/or system… more
- Sedgwick (Tampa, FL)
- …surveys, and new business; to provide program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the ... the activities of other internal departments such as information technology, operations and business development. + Coordinates client invoicing, audits and accounts… 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