- AdventHealth (Winter Park, FL)
- …and hospital policies. + Utilizes critical thinking and technology in decision -making, problem-solving, and integrating new systems to enhance patient care and ... outcomes. + Provides strong leadership and mentorship, ensures high-quality clinical care, supports staff development, and maintains clear communication and planning for patient care delivery. **The expertise and experiences you'll need to succeed:**… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …leadership and career growth. They adhere to ethical principles in decision -making, fostering accountability at personal, organizational, and staff levels. They ... equip staff with tools for culturally competent care and promotes a culture of accountability for high-quality, cost-effective outcomes. They cultivate alliances across the care continuum, building trust through active listening, engagement, and emotional… more
- CVS Health (Orlando, FL)
- …you will need Minimum Requirements** + Basic awareness of problem solving and decision making skills + 0-2 years work experience **Education** + High school diploma ... or equivalent required. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $16.00 - $23.56 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- HCA Healthcare (Sarasota, FL)
- …skills, demonstrates analytical and critical thinking abilities with proactive decision -making and negotiation skills, strong knowledge of governmental and private ... organization and community resources. + **Join Our Team at HCA Florida Sarasota Doctors Hospital** Located in beautiful Sarasota County, Florida, our **155** -bed hospital has been delivering exceptional care since 1967. Patients enjoy a coastal setting with… more
- CVS Health (FL)
- …denial. * Can review a clinical determination and understand rationale for decision . * Able to research claim processing logic and various systems to ... verify accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. * Serves as point person for newer staff in answering questions associated with claims/customer service systems and products.… more
- Jacobs (Fort Lauderdale, FL)
- …optimize cash flow, and deliver accurate reporting that drives informed decision -making. What You'll Do * Manage program financial performance, including ... forecasting, budgeting, and cash flow analysis. * Oversee all phases of the contracting lifecycle: RFP review, risk assessment, compliance, administration, change management, and closeout. * Ensure adherence to internal and external governance requirements for… more
- CVS Health (FL)
- …sophisticated solutions for real-time routing, sentiment analysis, risk detection, and decision support. Your work will empower our colleagues to deliver responsive, ... empathetic, and personalized service across all channels, supporting not only external customers but also internal stakeholders and colleagues. This includes assisting stakeholders directly, conducting proactive outreach, and providing valuable support to… more
- CVS Health (FL)
- …enable you to position CVS Health programs and solutions effectively to client decision makers. The contributions you will make as a Pharmacy Account Executive will ... position CVS Health for long-term growth in the competitive PBM marketplace. This position can be located in anywhere in the Eastern and Central time zones with the ability to work remotely or in a CVS Corporate Hub. You must have the ability to travel up to… more
- AdventHealth (Orlando, FL)
- …determinations. Uses critical thinking and sound judgment in decision -making, balancing reimbursement considerations with regulatory compliance. Reviews encounters ... for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen. Works with other Coding team members to keep coding within two days of discharge and hospital coding days within three… more
- CVS Health (Tallahassee, FL)
- …reporting platform for the PBM enterprise that transforms how data drives decision -making. In this role, you will spearhead the delivery of a cutting-edge ... self-service BI portal designed to accelerate actionable insights, empower strategic decisions, and strengthen stakeholder loyalty. By addressing current challenges of fragmented reporting and limited self-service capabilities, you will help build an… more
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