- Molina Healthcare (FL)
- …equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate...Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more
- Molina Healthcare (FL)
- …customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider ... **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider … more
- Centene Corporation (Orlando, FL)
- …degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, ... Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to...relations to ensure delivery of the highest level of care to our members. Engage with providers to align… more
- Molina Healthcare (FL)
- …customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare administration and/or ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and … more
- Molina Healthcare (Orlando, FL)
- …**This role will have standard EST business hours.** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation ... and maintenance of critical provider information on all claims and provider ...and experience **Required Experience** + Min. 3 years managed care experience + Experience in one or more of… more
- Ascension Health (Gulf Breeze, FL)
- **Details** + **Department:** Multi Provider + **Schedule:** Full time days. Monday-Friday from 7:30-5:00 + **Facility:** Ascension Sacred Heart Medical Group + ... and treatment of patients under the direction of a provider (Physician or Advanced Practice Provider ). +...brain and spine, pediatrics, women's health, orthopedics and cancer care . Ascension is a leading non-profit, faith-based national health… more
- CVS Health (Tallahassee, FL)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic...to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with… more
- CVS Health (Tallahassee, FL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider … more
- CVS Health (Tallahassee, FL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... cost management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by ensuring timely… more