- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Evolent (Tallahassee, FL)
- …care in value-based care frameworks, and thrives at the intersection of clinical quality, operations, and strategic provider collaboration. This leadership role ... the development and execution of innovative engagement opportunities such as regional clinical symposiums and local provider experience advisory panels + Own… more
- Centene Corporation (Tallahassee, FL)
- …with provider staff to develop and implement operational and clinical process improvements to help providers achieve higher performance + Identify, develop, ... opportunities based on key performance indicators and develop action plans + Develop and provide training and support to provider staffs to assist them in… more
- LogixHealth (Dania Beach, FL)
- …to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical , and other data insights that directly ... On-Site in Dania Beach, FL This Role: As a Provider Enrollment Specialist at LogixHealth, you will perform all...+ Revenue cycle knowledge About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians… more
- Centene Corporation (New Port Richey, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... act as a liaison between the providers and the health plan + Triages provider issues as needed and coordinates response with internal matrix partners + Receive and… more
- The Cigna Group (Tampa, FL)
- …improve total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise ... to work in the office or visit Providers 3 days per week The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider … more
- Molina Healthcare (Jacksonville, FL)
- …and responding timely to claim disputes. Team consists of clinical and non- clinical staff. * Establishes Medicare Contracted Provider Post Pay dispute and ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare… more
- Centene Corporation (Orlando, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... act as a liaison between the providers and the health plan + Triages provider issues as needed for resolution to internal partners + Receive and effectively respond… more
- Ascension Health (Pensacola, FL)
- …). + Assist with treatments ordered by provider as supervised by provider or registered nurse. + Perform select clinical duties. + Interview patients, ... **Details** + **Department:** Multi Provider + **Schedule:** Full time days. Monday-Friday from...a clean and orderly environment. + May document the provider 's encounter with patients. + List all proper diagnoses… more
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