- Ensono (Miami, FL)
- …compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, Veteran-Directed Care (VDC) and other VA ... company and individual performance, and an equity grant under our Associate Equity Appreciation Program. Ensono is an Equal Opportunity/Affirmative Action employer.… more
- Molina Healthcare (Tampa, FL)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... similar functions for other staff. **Job Qualifications** **Required Education** Associate 's Degree or equivalent combination of education and experience **Required… more
- Molina Healthcare (FL)
- …Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract, network development and management, ... & ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed… 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)
- …highly motivated and dedicated and should possess the below qualities: + Associate 's or Bachelor's degree in Business Administration, Operations Management, or a ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Deloitte (Jacksonville, FL)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) exams, or achieved Associate -level status (ASA/ACAS) or higher. The wage range for this role takes… more
- Suddath (Jacksonville, FL)
- …be available as needed. + Coordinate with the Quality Assurance Manager and Claims Manager in the areas of training, continuous improvement, and corrective action + ... enable individuals with disabilities to perform the essential functions. **Education/Experience:** Associate Degree (AA) from an accredited college or university; or… 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 ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Ascension Health (Jacksonville, FL)
- …reimbursement from public/private payers. + Perform error analysis for disputed/denied claims and provides recommendations for process improvements. + Assist with ... states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in… 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 Systems,… more