- Humana (Miami, FL)
- …seeking a talented healthcare/health insurance leader for the role of Director, Provider Contracting. The Director will be responsible for all contracting and ... with physicians and other healthcare providers + Manage the provider relationship, ensuring that best-in-class servicing is delivered, including onboarding,… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
- Ascension Health (Middleburg, FL)
- …offer._ **Responsibilities** Ascension St. Vincent's is looking for an Advanced Practice Provider for it's Clay County Cardiology Clinic. This is a great opportunity ... for the right candidate to partner with Ascension St. Vincent's to provide medical services to patients. **Responsibilities:** + Obtains patient history and performs… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in… 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 ... Summary** + Claims analysis related to disputes, legal matters, state complaints, provider inquiries, and internal team inquires. In order to determine if there… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements. The Provider Contracting...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Ascension Health (Pensacola, FL)
- …buildings have grown and expanded, our commitment to the mission remains steadfast: to provide excellent health care to all people, with special attention to the ... to ensure the success of efforts to improve cost effectiveness and quality of care provided to patients. + Accepts patient referrals from other physicians. Acts as… more
- Molina Healthcare (St. Petersburg, FL)
- …marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and… more
- Molina Healthcare (Tampa, FL)
- …**Job Summary** Responsible for accurate and timely measurement of critical provider analytics including Network Adequacy and other critical metrics. Synchronizes ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data on ...compliant network of participating Providers to serve the health care needs of the Plan's membership and to meet… more
- Ascension Health (Panama City Beach, FL)
- …performance, location and salary range at the time of the offer._ **Responsibilities** Provide care to patients under the direction of a registered nurse ... **Details** + **Department:** Multi Provider Panama City Beach + **Schedule:** Full Time,...+ Educate patients/families about disease treatment plan including self care post discharge, holistic health needs, available resources and… more
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