- LogixHealth (Dania Beach, FL)
- …individual providers and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key Responsibilities: + Assigning ... offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards...have had a clear vision of a better healthcare system and have continually evolved to get there. In… more
- Molina Healthcare (Tampa, FL)
- …to find solutions to ensure the success of the Health Performance Assessment System . * Takes a leadership role in evolving Molina application development practices. ... other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business stakeholders to manage… more
- Centene Corporation (Tallahassee, FL)
- …business needs. + **Design and maintain** attribution models based on claims data, member selection, contractual arrangements, and regulatory requirements. + ... refinement. + **Lead change management** efforts for attribution logic updates, system enhancements, and policy changes. + **Support strategic initiatives** related… more
- Molina Healthcare (Orlando, FL)
- …Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received ... via claims , call tracking, or e-mail. Maintain records in the enrollment database. **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium… more
- University of Miami (Miami, FL)
- …for internal users. + Monitors system availability, working closely with system administrators and business systems analysts. + Recommends changes in ... integrity across the healthcare enterprise. Working under the direction of the Director of Revenue Integrity Systems , the analyst collaborates with clinical… more
- Community Health Systems (Naples, FL)
- …accuracy and completeness of information in the electronic health record (EHR) system . + Responds to requests for health information, retrieving and releasing ... preparation and submission of patient information for billing, coding, and insurance claim purposes. + Maintains confidentiality and ensures the security of patient… more
- US Air Force - Agency Wide (Patrick AFB, FL)
- …and decisions that shape the direction and acquisition of the Center's mission systems . Approves the Center's cyber strategy and ensures an integrated IT roadmap ... engineering, security, sustainment, and continuous enhancement of AFTAC's IT systems , analytical tool development capabilities, information assurance policy compliance,… more
- Carnival Cruise Line (Miami, FL)
- Processes data entry, vendor claims , and Purchase Order (PO) research. Job Functions: + Process vendor claims , internal department claims , delivery receipts ... for Centergate, and inventory PO's. Credit memos into various systems : CT, Oracle, Infoship, Amos, and oracle cloud mailbox. Doral receiving responsibilities and up… more
- AdventHealth (Maitland, FL)
- …it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, ... relates to reimbursement methodologies + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT,… more
- MyFlorida (Tallahassee, FL)
- ASSISTANT ATTORNEY GENERAL-DLA - 41001035 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics… more