- Highmark Health (Tallahassee, FL)
- …understanding of business and financial terms and conditions of grant, contract , and/or clinical trial agreement.Maintain compliance with allowable costs, period of ... other special test provisions, cash management invoicing, and clinical trial billing compliance.Keep current on compliance with federal, state, local, private… more
- Molina Healthcare (Orlando, FL)
- **Job Description** Responsible for comprehensive contract review and target claim audits review. This includes but not limited to; deep dive contract review and ... fee schedules, and other business requirements critical to claim accuracy. This contract review provides oversight to ensure that the contracts are configured… more
- Highmark Health (Tallahassee, FL)
- …Dental **Job Description :** **JOB SUMMARY** Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen, ... **EXPERIENCE** **Required** + Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must...relevant operational area (eg customer service, claims, enrollment and billing , etc.) to include 1 - 3 years of… more
- Insight Global (Lutz, FL)
- …systems. Client Roster Management Maintain and update internal client rosters, including contract employee details such as ID badge numbers, email addresses, and ... orders and assign employees to client projects. Understand and apply billing classifications based on role and department. Cross-Departmental Coordination Perform… more
- Centene Corporation (Tallahassee, FL)
- …& Abuse:** Experience in fraud/waste/abuse identification and investigation, provider billing , or clinical coding preferred; Experience with data mining, machine ... Experience in emerging trend analysis, financial modeling, claims pricing, contract /network analysis, and/or ROI evaluation preferred. Familiarity with claims… 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, ... knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service is preferred + Familiarity… more
- TEKsystems (Orlando, FL)
- …is in need of two Epic revenue cycle Analysts to join their team for contract opportunities. Qualified candidates will bring certifications in HB or PB and 3-5 years ... within those modules. These resources will be building/developing within Epic's hospital billing and professional billing modules. Additional duties will include… more
- AdventHealth (Maitland, FL)
- …troubleshoot system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst . Contributes to the development and implementation ... This position requires extensive knowledge and technical competence in Contract Administration. Under minimal supervision, provides necessary research, review and… more
- University of Miami (Miami, FL)
- …independent project lead or provides oversight for project manager and/or business analyst on assigned projects and recognize/ minimize business value lost during ... knowledge of third-party partnerships, experienced with managing vendor relationships and contract negotiations. + Able to implement projects that are ahead of… more
- University of Miami (Miami, FL)
- …independent project lead or provides oversight for project manager and/or business analyst on assigned projects, and recognize/ minimize business value lost during ... knowledge of third party partnerships, experienced with managing vendor relationships and contract negotiations. + Able to implement projects that are ahead of… more
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