- Humana (Tallahassee, FL)
- …processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; ... years of progressive experience leading continuous improvement efforts, evaluating existing systems and implementing process improvements. + Must be passionate about… more
- Molina Healthcare (Tampa, FL)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... technical decisions. **JOB QUALIFICATIONS** **Required Education** * Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information … more
- Molina Healthcare (Tampa, FL)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... in a fast paced, high volume environment **PREFERRED EDUCATION** : Associate 's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE**… more
- Point32Health (FL)
- …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint request ... perform the job** **Certification and Licensure** **Education** + Required (minimum): Associate 's Degree or equivalent experience in health care, conflict resolution… more
- Morley (Miami, FL)
- …(both external clients and within an organization) + Using Asana or similar task management systems + **Able to work the following schedule:** + Monday - Friday + 8 ... Dental and vision insurance + Paid time off + Associate wellness program (earn a reward for getting your...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Mass Markets (FL)
- …candidate pipelines for current and future hiring needs. + Utilize applicant tracking systems (ATS) and other tools to manage and track candidate activity. + ... 18 years of age or older + High school diploma or equivalent required; Associate 's or Bachelor's degree in HR, Business, or related field preferred. + Bilingual in… more
- Molina Healthcare (FL)
- …management of provider offices (including large multispecialty groups or health systems , executive level decision makers, Association meetings, and JOC's). * ... Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract, network development and management,… more
- Cardinal Health (Tallahassee, FL)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... customer services and FDA approved pharmaceuticals. + Review Business Associate Agreements, Confidentiality Agreements and Information Security Agreements **_Qualifications_**… more
- Mass Markets (FL)
- …+ High school diploma, plus some tertiary qualification in finance (eg, associate 's degree, certificate, or coursework in accounting or finance). + Proficiency in ... + Experience with payment reconciliations involving payment processors, banks, and systems of record. + Trustworthiness and discretion. COMPENSATION DETAILS WANT AN… more
- Molina Healthcare (Orlando, FL)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... eligibility) to guide technical decisions. REQUIRED EDUCATION: + Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information … more