- Elevance Health (Tampa, FL)
- …access workflows. + Write clean, well tested code; perform reviews; uphold secure coding and reliability practices; maintain runbooks and API specs. + Participate in ... latency, and cost efficiency. **Minimum Requirements:** Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum… more
- Elevance Health (Tampa, FL)
- …and medical necessity. + Contacts others to obtain any necessary information . + Completes and maintains detailed documentation of audit which includes ... quality improvement opportunities and initiates complex system requests related to coding or system issues. + Refers overpayment opportunities to Recovery Team.… more
- Elevance Health (Miami, FL)
- **PHP Developer III** **CareBridge Health ** is a proud member of the Elevance Health family of companies, within our Carelon business. **CareBridge Health ** ... to enable individuals in home and community-based settings to maximize their health , independence, and quality of life through home-care and community based… more
- Elevance Health (Miami, FL)
- …by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and… more
- Elevance Health (FL)
- …and Capabilities:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding , and managed health care including HMO,PPOand POS plans strongly ... PST (Local time) A proud member of the Elevance Health family of companies, **Carelon Medical Benefits Management** ,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health ...with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
- Cardinal Health (Tallahassee, FL)
- …peer groups at various management levels + Interactions normally involve information exchange and basic problem resolution _Essential Functions:_ + Develops, ... for financial counseling workflows + Deliver monthly KPI's to manager on time for prior month. + Manage and...management of medical office setting working with medical insurance, coding and financial matters preferred + Working knowledge of… more
- Molina Healthcare (Orlando, FL)
- …or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of ... business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational… more
- Rising Medical Solutions (Tampa, FL)
- …utilize problem-solving skills to resolve claim discrepancies, errors, or incomplete information by communicating with providers, members, or internal departments + ... the system accurately and timely + Ensure strict confidentiality of all medical information and adhere to privacy regulations and company policies + Special projects… more
- Honeywell (Clearwater, FL)
- …of technology and industry solutions. _You will report directly to our Sr. SW Engineering Manager , and you will work out of our Clearwater, FL location. This role is ... available **Key Responsibilities** + Requirements and design + Software architecture and coding integration + Integration + Certification + Test Software in a lab… more
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