- AdventHealth (Orlando, FL)
- …loss and ensures all risk management activities, including the internal event report system and patient grievance process are in compliance with FL State Statute ... The CRM identifies potential compensatory events and works collaboratively with claims management coordinators to mitigate litigation. The CRM is responsible for… more
- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...+ At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …Oncology). The incumbent will be responsible for maintaining and improving systems of health care by participating in programs, following policies, improving ... change the closing date from 12/31/2025 due to scheduled system updates. This announcement has been amended to remove...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Panama City Beach, FL)
- …EDRP participants ineligible to apply. Responsibilities The Gulf Coast Veterans Health Care System (GCVHCS) provides health care services at 5 locations along the US ... Base. GCVHCS is one of the leading health care systems serving Veterans in the South Central Region. VA...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Pensacola, FL)
- …participants ineligible to apply. Responsibilities The Gulf Coast Veterans Health Care System (GCVHCS) provide you with health care services at 5 locations along ... Base. GCVHCS is one of the leading health care systems serving Veterans in the South Central Region. VA...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Pensacola, FL)
- Summary The Gulf Coast Veterans Health Care System (GCVHCS) is seeking a Physician (Radiologist), responsible for developing strategic management plans for the ... Imaging American College of Radiology (ACR) endorsed Reporting and Data Systems (RADS) including Lung-RADS, TI-RADS, LI-RADS, BI-RADS, C-RADS, NI-RADS, O-RADS,… more
- Robert Half Accountemps (Boca Raton, FL)
- …this role, you will support various benefits-related processes, including claims management, benefits audits, and employee compensation administration. This ... programs, including 401k plans, COBRA, and workers' compensation. * Manage claims processes and ensure timely resolution while maintaining accurate records. *… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …Include but not limited to: Solves complex issues regarding travel claims , mileage reimbursement claims , transportation contracts, emergent and non-emergent ... assignments, delegation of authority, management controls, information and documentation systems , and similar functions of management. Formulates, interprets, and… more
- Molina Healthcare (FL)
- …and opportunities. **Job Duties** + Extract and compile information from various systems to support executive decision-making + Mine and manage information from ... large data sources. + Analyze claims and other data sources to identify early signs...financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical… more
- Molina Healthcare (Orlando, FL)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more