- Evolent (Tallahassee, FL)
- …Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred :** + Bachelor's degree, preferably with a quantitative major (eg ... clinical vendor, managed care, or related healthcare consulting entity is preferred + Experience using data visualization software (s) to package analytical… more
- Citigroup (Tampa, FL)
- …and external resources Third Party Oversight/Vendor Oversight experience preferred . **Education:** + Bachelor's/University degree, Master's degree preferred ... of Sponsoring Organizations of the Treadway Commission (COSO) risk framework preferred . **Job Family Group:** Controls Governance & Oversight **Job Family:**… more
- CVS Health (Tallahassee, FL)
- …Professional Medical Auditor) **or** CDEO (Certified Documentation Expert Outpatient) preferred . ** Preferred Qualifications** + Computer proficiency including ... violations based on governmental guidelines. **Education** + Bachelor's degree preferred specialized training/relevant professional qualification, or equivalent work experience.… more
- CVS Health (Apollo Beach, FL)
- …year of experience in behavioral health or a long term care setting. ** Preferred Qualifications** - Ability to multitask, prioritize and effectively adapt to a ... required. - Case management and discharge planning experience. - Bi-lingual preferred . **Education** - Bachelor's Degree required. Degree in Social Work, Behavioral… more
- Molina Healthcare (Orlando, FL)
- …of concepts, practices, and procedures applicable to job-related subject areas. ** Preferred Education** Bachelor's Degree or equivalent combination of education and ... experience ** Preferred Experience** + 3-5 years of formal training in...management tools (eg, Jira, Trello, Asana) + Pharmacy reporting ** Preferred License, Certification, Association** Certified Business Analysis Professional (CBAP),… more
- Cardinal Health (Tallahassee, FL)
- …**_Qualifications_** + Bachelor's degree in related field, or equivalent work experience, preferred + 2-4 years of experience in global travel and/or technology and ... data, preferred + Knowledge of technology systems (Concur Travel, Lanyon, etc.) is preferred + Experience with SAP Concur Travel on the Administrator side … more
- Intermountain Health (Tallahassee, FL)
- …direct related experience in revenue cycle operations in an acute and medical office. Preferred Bachelors Degree is preferred Proficiency in EPIC is preferred ... Prior educator, preceptor, trainer experience is preferred To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum… more
- Molina Healthcare (Jacksonville, FL)
- …of concepts, practices, and procedures applicable to job-related subject areas. ** Preferred Education** Bachelor's Degree or equivalent combination of education and ... experience ** Preferred Experience** + 3-5 years of formal training in...+ Appeals & Grievance, healthcare services, or claims background ** Preferred License, Certification, Association** Certified Business Analysis Professional (CBAP),… more
- Centene Corporation (Tallahassee, FL)
- …+ Previous experience in risk adjustment oversight and/or coding planning preferred + Demonstrated understanding of risk adjustment regulatory landscape preferred ... Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range: $68,700 -123,700 annual Centene offers a comprehensive benefits… more
- Highmark Health (Tallahassee, FL)
- …Epidemiology or Pharmacy or closely related field **Substitutions** + None ** Preferred ** + Master's Degree in Medicine, Public Health, Nursing, Economics, Health ... project leadership in a complex, matrixed environment (payer and/or provider preferred ) + 3 years of providing analytical consultation to clinical, administrative,… more