- TEKsystems (Coral Gables, FL)
- …Only Eligible - Third Party Candidates Need Not Apply Role: Epic Bridges Analyst Location: Miami, FL (hybrid - travel covered) Duration: Long Term Contract ... certified Create and execute solutions for integrating financial and clinical data across multiple systems. Expert with HL7 messages...per month. Job Type & Location This is a Contract position based out of Coral Gables, FL. Pay… more
- Elevance Health (Miami, FL)
- …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY ... policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support… more
- CVS Health (Tallahassee, FL)
- …work plans and activities, including support of all accreditation activities and contract requirements. Analyzes and reports on findings on health plan activities ... equity, and long term supports and services - Support quality contract requirements, including performance improvement projects (PIPs), analysis of quality… more
- Evolent (Tallahassee, FL)
- …from product strategy analyses and translating them to complex risk-based contract development, and they will partner closely with executives across analytics, ... professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity + Ability… more
- Maxim Healthcare (Jacksonville, FL)
- …out monthly The Behavior Specialist is a trained individual who provides clinical and case management to behavior technicians and clients/families under the ... supervision of a Board Certified Behavior Analyst (BCBA). The Behavior Specialist provides midlevel supervision when allowed by the payer source. The Behavior… more
- The Cigna Group (Tallahassee, FL)
- …as primary POC for overall and day to day service delivery for clinical analytic needs. Represent client(s) internally and coordinate with other functional areas to ... service needs. Ensure alignment among internal teams re: client contract deliverables. Provide background/client history when/where applicable. Manage client… more
- Amergis (Sarasota, FL)
- …plans for individuals with academic and behavioral deficits. The Board Certified Behavior Analyst - ES acts as a clinical teacher who educates, observes, ... DeAngelo LeGrier Phone: ### Email: ###@amergis.com The Board Certified Behavior Analyst - ES provides consultation, training, conducts behavioral evaluations and… more
- University of Miami (Miami, FL)
- …(H) is responsible for the independent design, development, and deployment of clinical applications and technologies. The architect defines system solutions based on ... place internally or by vendors utilizing expert knowledge crossing multiple clinical applications and operational areas. + Leads Projects associated with application… more
- Sharecare (Tallahassee, FL)
- …programs, including the Merit-based Incentive Payment System (MIPS) and other payer contracts . Functions as a subject matter expert and consultant in value-based ... functional teams - including other account managers, sales, IT, development, business analyst , and systems integration - to align client strategies, ensure seamless… more
- Elevance Health (FL)
- …necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as ... family of companies, **Carelon Behavioral Health** , offers superior clinical mental health and substance use disorder management, a...that do not Require licensure, a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the… more