- CVS Health (Tallahassee, FL)
- …clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active and unrestricted RN license in the ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... determining objectives and approaches to assignments. The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior… more
- Humana (Tallahassee, FL)
- …and secure connectivity. This is a strategic role that requires product management expertise, strong technical fluency in networking, and the ability to translate ... are consumable, reliable, and measurable. * Stakeholder Engagement & Requirements Management * Partner with segment CIO's and their leaders, Infrastructure… more
- Good Samaritan (Kissimmee, FL)
- …100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.** **Facility:** GSS FL Kissimmee Hlth Care ... Data Set (MDS) Licensed Practical Nurse (LPN), Long Term Care (LTC) uses nursing judgement to contribute to the...Colleges of Nursing (AACN) accredited nursing program is preferred. Associate 's Degree in nursing is required. Minimum of one-year… more
- Medtronic (Orlando, FL)
- …Field Training Team responsible for training and educating our Cardiac Rhythm Management (CRM) field force. Use your subject matter expertise, experience, and ... process, ensuring compliance with industry regulations + Maintain project management tracking for program activities relevant to compliance, logistics, budget,… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Lead, IT Portfolio Management is responsible for aligning the IT portfolio and demand in close collaboration ... significance. + Exercise independent judgment and decision-making on complex portfolio management issues. + Lead special projects, including the production of key… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... Management Professional work assignments are varied and frequently require...take approximately 10-15 minutes. **Work-At-Home Requirements:** + WAH requirements: Must have the ability to provide a high-speed DSL… more
- Molina Healthcare (FL)
- …such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care , and correct coding. * Independently ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
- Humana (Tallahassee, FL)
- …we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top ... to best practices in accountable AI for effective risk management and measurement. Join us in shaping the future...self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a… more