- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... of claim related participation and pricing issues. + Reading and interpreting appeals , standard reference materials, etc. **Required Qualifications** + 2+ years of… more
- Shuvel Digital (Tampa, FL)
- Role: Intel Analyst Location: Tampa, FL Duration: 2+ Years Job Description: Perform all-source and/or open source intelligence analysis to include, but not limited ... Demonstrated ability to write clearly, succinctly, and in a manner that appeals to a wide audience Experience creating methodologies by leveraging existing… more
- Molina Healthcare (FL)
- …+ Experience working with complex, often highly technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, ... Association** Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding… more
- Capgemini (Pensacola, FL)
- …software systems to create Prescription cases and determine coverage, determination and appeals process + Good written and verbal communication skills + The ability ... to display soft skills while moving the call forward + Meeting or exceeding government mandated timelines + Complying with turnaround time, productivity, and quality standards + Conveying resolution to beneficiary or provider via direct communication and… more