- Guidehouse (Tampa, FL)
- …management staff, and the Internal Revenue Integrity team with complex patient care cases by analyzing documentation and discussing correct code assignment. + ... clinical education. + Serves as a technical expert/resource for department manager , staff, physicians, administrative, and external customers to provide information… more
- Sharecare (Tallahassee, FL)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... CST. **Job Summary:** Under the general supervision of a Customer Service Manager , the Program Engagement Representative has the primary responsibility of making… more
- CenterWell (Port Saint Lucie, FL)
- …and help us put health first** **Job Functions** Working within an interdisciplinary care team, the Care Navigator is responsible for proactively engaging ... interventions to address social needs and increase access to care . The Care Navigator will provide guidance...settings, and assigned clinics to facilitate connections. **Workstyle:** Hybrid/Field, remote . Monday thru Friday 8 am to 5 pm… more
- Datavant (Tallahassee, FL)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional… more
- Molina Healthcare (Jacksonville, FL)
- …review and/or Provider appeals and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS ... experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education** Bachelor's degree Previous Director experience. To… more
- Centene Corporation (Tallahassee, FL)
- …to competitive benefits including a fresh perspective on workplace flexibility. This position is remote with local travel required for member visits up to 50% of the ... field** **One (1) year minimum of related professional pediatric care experience** **LCSW, LMHC required** **Must reside in Wakulla,...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Tallahassee, FL)
- …to competitive benefits including a fresh perspective on workplace flexibility. This position is remote with local travel required for member visits up to 50% of the ... for the role. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high… more
- Centene Corporation (Miami, FL)
- …benefits including a fresh perspective on workplace flexibility. This position is remote /field based with local travel required for member visits up to 80% ... experience is required. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Centene Corporation (Pensacola, FL)
- …benefits including a fresh perspective on workplace flexibility. This position is remote and field based with local travel required for member visits. Candidates ... experience is required. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- Centene Corporation (Orlando, FL)
- …competitive benefits including a fresh perspective on workplace flexibility. Hybrid Role: Remote with in person visits to members within Service Area Service Area: ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more