- Elevance Health (Miami, FL)
- …request materials, and data validation. + Perform special projects and assignments under direction of department management. + It is an expectation of the ... for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health . We… more
- Elevance Health (Tampa, FL)
- …paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, health insurance claims handling and ... May interface internally with Senior level management and legal department throughout investigative process. + May assist in training...as part of the hiring process. The health of our associates and communities is… more
- Highmark Health (Tallahassee, FL)
- …plan quality programs (eg pay for performance) + 5 years Familiarity with the delivery of health care services across the continuum and quality metrics. + 5 ... Plan, organize, staff, direct and control the day-to-day operations of the department ; develop and implement policies...payment model design. Demonstrate of the application of healthcare economic drivers and/or population health … more
- Magellan Health Services (Panama City, FL)
- …POC. + Manages duty to warn and restricted reporting situations according to Department of Defense (DoD) protocol and staffs the cases with Regional ... as well as a comprehensive benefits package. Magellan offers a broad range of health , life, voluntary and other benefits and perks that enhance your physical,… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about ... improve health outcomes. * Leverage extensive knowledge of health care delivery system, utilization management,...Actively participate in meetings and communication with the State Department of Medicaid in person as needed.… more
- CVS Health (Tallahassee, FL)
- …resilient, reliable, cost-effective platforms tailored to the needs of CVS Health . **Project Management:** Engage executives, department heads, and IT teams ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about… more
- Highmark Health (Tallahassee, FL)
- …in lieu of degree **Preferred** + None **EXPERIENCE** **Required** + 3 years of Health Care Underwriting OR risk mgmt OR actuary work OR applying advanced ... or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Understanding of health products, services, risk assessment and techniques +… more
- Mount Sinai Health System (West Palm Beach, FL)
- …of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per ... skills + A strong work ethic and desire to participate in team-oriented, performance-driven Health System **Please specify Job Title of interest and send CV with… more
- Mount Sinai Health System (West Palm Beach, FL)
- …of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per ... skills + A strong work ethic and desire to participate in team-oriented, performance-driven Health System **Please specify Job Title of interest and send CV with… more
- Highmark Health (Tallahassee, FL)
- …service telephone and written correspondence inquiries (routine, priority Congressional / Department of Defense), and appeals. Ensures that all processes ... systems problems occur. Provides direction for priority Congressional and Department of Defense inquiries and appeals. +...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more