- Highmark Health (Tallahassee, FL)
- …various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management , Customer Service, Claims, and Medical ... support, frequently utilizing resources to resolve customer inquiries. + Collaborate with Clinical Strategy, Sales/Client Management and other areas across the… more
- Humana (Tallahassee, FL)
- …half of Humana's Medicaid business, providing technical financial analysis and data -driven insights to drive market growth and operational effectiveness. This ... resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium… more
- Intermountain Health (Tallahassee, FL)
- …Emergency Room Coder is responsible for accurately assigning ICD-10 CM ( Clinical Modification) diagnosis codes and Current Procedural Terminology (CPT) codes for ... to billing department or third-party payers in a timely manner. + Verifies data abstracted and entered from the electronic health record (EHR). Ensures integrity of… more
- Humana (Fort Lauderdale, FL)
- …payment strategy, audits, and NCQA accreditations). The leader may be a data scientist, financial analyst , economist, or other analytical professional; though ... optimize segment outcomes. + Collaborate with actuarial, finance, and clinical teams to interpret data and inform...and behavioral health trends. + Guide pharmacy and care management strategies using data -driven insights to improve… more
- Humana (Tallahassee, FL)
- …relationships with Medicaid operations IT, the data warehouse team, and users of data (Finance, Clinical , Actuarial, DH&A analyst and report end users). ... Manager 2 supports all aspects of configuration control, data management , and deficiency reporting. The ...years technical experience in compiling, modeling, interpreting and analyzing clinical and population health data in order… more
- HCA Healthcare (Sarasota, FL)
- …for the management of Tissue Tracker issue report and working with OR Analyst and Clinical staff to resolve any interface issues between the MIS and ... an organization that invests in you as a Medical Data Entry ORICC? At HCA Florida Sarasota Doctors Hospital,...the preference card change process. Supports the Supply Chain clinical resources in margin improvement efforts, as well as… more
- HCA Healthcare (Tallahassee, FL)
- …Performs monitoring of throughput metrics and analysis of variances. + Performs data mining to assess facilities bed management operational improvement ... directors. + Serves as a facilitator, technical advisor, and analyst to hospital management and teams on...program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of… more
- Highmark Health (Tallahassee, FL)
- …including, but not limited to: medical/surgical physician and institutional claims and encounters, clinical data , prescription drug data , membership data ... positively impact corporate performance + Researches, manipulates, and prepares data related to Health Management programs that...years experience in support of a Marketing function or Data Analyst role or in a business… more
- University of Miami (Miami, FL)
- …maintain reliability and accuracy of deployed models + Apply a strong knowledge of clinical data standards (eg, FHIR, OMOP, DICOM) to solution design and ... data privacy, and compliance requirements (eg, HIPAA, IRB) + Collaborate with data scientists, IT teams, and clinical stakeholders to translate ML/AI models… more
- University of Miami (Miami, FL)
- …full lifecycle delivery of software development. Evaluates, designs, and tests clinical applications of information systems for implementations and upgrades. + Works ... with managers, senior administrators, and other leaders to produce required data , identify project tasks , and appropriate time estimates. + Develops, designs,… more