Field nurse case manager rn work from home jobs in the Medical & Health category and Insurance industry at Blue Cross And Blue Shield Of Florida, Inc.

Description Job duties include, but are not limited to the following: Provides database (Essbase), Application (Hyperion Planning), and ETL (Extract Transform and Load) administrator support for the Hyperion Admin Budgeting process and Department of Labor reporting Responsible for executing monthly data loads to and from Hyperion and reconciling data between sources and targets Provides ad-hoc que...
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Description *REPOST - PREVIOUS APPLICANTS CAN APPLY* Job duties include but are not limited to the following: • Identifies, investigates and evaluates moderate to complex potential fraud, waste or abuse, including pre-pay and/or post-pay medical claim reviews to determine valid cases for appropriate action; documents findings, and prepares case referrals, letters, etc. if applicable for the FEP li...
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