2 jobs found in miramar

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing  your life's best work.(sm) The Senior Public Sector Sales Executive for UnitedHealth Care throughout the state of Florida is responsible for broker/consultant and direct sales to public sector customers (municipality, school districts, labor and union)..  The principal focus is the sale of new business to sophisticated customers with an emphasis on fully insured, self-funded ASO, and specialty lines of business including dental, vision and financial protection products. This individual has an indirect responsibility for the retention of existing accounts. This is a high-level individual contributor sales role tasked with new business procurement in the Public Sector...

Gainwell Technologies LLC Summary Job Description * Candidate must be located in the West Palm Beach, FL area (Palm Beach County)* The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials and works with organized healthcare groups and associations on various medical issues related to insurance and healthcare programs Responsibilities:  •    Participates in the identification, documentation, analysis and validation...