- MyFlorida (Tallahassee, FL)
- …eligibility for participation in supplemental payment programs. Coordinate data transfers between Florida managed care plans and the Agency for Health Care ... 68064297 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jan 8,...Medicaid health plans, calculates both institutional and non-institutional Medicaid reimbursement rates, and disburses supplemental payments to Medicaid providers.… more
- Insight Global (Maitland, FL)
- …responsible for analyzing and evaluating financial and economic data related to healthcare costs, managed care payer rates, and reimbursement . It focuses on ... Job Description Role overview: This role is focused on managed care within the payor space, commonly...negotiators who engage with BUCA payors to establish new reimbursement rates and build rate structures for future periods.… more
- Molina Healthcare (Miami, FL)
- …utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such ... health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …we're more than a pharmacy - we're a dedicated partner in care , transforming how patients experience long-term, post-acute, correctional, PACE, and specialty ... we're raising the bar for quality and coordination across all sites of care , ensuring every patient receives seamless, compassionate, and expert support. Founded in… more
- CVS Health (Hialeah, FL)
- …fast-paced changing environment + Effective communication skills, both verbal and written Managed Care experience + Case management and discharge planning ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Highmark Health (Tallahassee, FL)
- …various complex potential claims with emphasis on controlling losses through effective managed care . This includes following a departmental claim checklist to ... ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for...3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate… more
- Molina Healthcare (Miami, FL)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent… more
- Molina Healthcare (Jacksonville, FL)
- …Qualifications** + At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and… more
- CVS Health (Satellite Beach, FL)
- …changing environment - Effective communication skills, both verbal and written - Managed care experience **Education** - Bachelor's Degree required, preferably ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Satellite Beach. Mileage is reimbursed per our company expense reimbursement policy - 1 + year of experience in… more
- Centene Corporation (Tallahassee, FL)
- …and knowledge of provider reimbursement methodologies. Working knowledge of managed care information or claims payment systems preferred. Previous structured ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
Recent Jobs
-
Manager, Industrial Engineering (Capital Investments)
- Cardinal Health (Salem, OR)
-
Respiratory Therapist - Day Shift
- Amergis (Brockton, MA)
-
Program Manager II
- Eaton Corporation (Beltsville, MD)
-
Accounting Manager
- Aston Carter (Charlotte, NC)