- Molina Healthcare (Miami, FL)
- …of payment errors. **Required Qualifications** * At least 2 years of managed care experience in a call center, appeals, and/or claims environment, or equivalent ... education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience… more
- University of Miami (Miami, FL)
- …research team and principal investigator in planning, development, implementation, coordination , and evaluation of research protocol specific education as needed. ... Quality: + Develops programs with a focus on quality outcomes, nursing care and Process Improvement. + Actively supports and participates in performance improvement… more
- Molina Healthcare (St. Petersburg, FL)
- …to providers. * Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related ... role in a claims, and/or customer service setting - preferably in managed care , or equivalent combination of relevant education and experience. * Research and data… more
- Veterans Affairs, Veterans Health Administration (Tallahassee, FL)
- …Commodity Management Division of the Logistics Service in a Veteran Affairs Health Care System (VA HCS) and supported catchment area, with responsibility for the ... This is not a virtual position. Position Description/PD#: Inventory Management Specialist /PD99823S Requirements Conditions of Employment You must be a US Citizen… more
- Molina Healthcare (Jacksonville, FL)
- …PMO, provider network teams and business end users to align objectives and drive coordination of project delivery activities + Serve as a business user partner in IT ... combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network… more
- Cordis (Miami Lakes, FL)
- …we are dedicated to being the heart of innovation to transform cardiovascular care . At Cordis, we're teammates, not just employees. We embrace an empowered and ... activities as needed and directed by the Regional Director in coordination withadditionalsales support + Manages any product complaints appropriately, reporting to… more
- Molina Healthcare (Tampa, FL)
- …**R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing ... background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals… more
- Guidehouse (Tampa, FL)
- …dashboard development and KPI tracking + **Stakeholder engagement and coordination ** , eg facilitating alignment across owners, regulators, contractors, and ... Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability + Student Loan… more
- Sharecare (Tallahassee, FL)
- …contracts. Functions as a subject matter expert and consultant in value-based care programs, guiding clients through complex requirements and advising on strategies ... Speaking and hearing ability sufficient to effectively communicate. + Eye/hand coordination , hearing and visual acuity necessary for day-to-day tasks **Working… more
- Community Based Care of Brevard, Inc. (Palm Bay, FL)
- …planning, linkage, coordination , and advocacy for children and families. The Care Manager works as a team member with key partners including parents, family ... Please visit our website for details: https://fpocf.org/careers/ Position Summary: The Family Allies Care Manager adheres to the FPOCF System of Care principles… more