- Molina Healthcare (Tampa, FL)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- Akumin (Tampa, FL)
- The ** Director , Revenue Cycle** is a key leader within our organization, responsible for ensuring the efficiency and effectiveness of our collections process. This ... the successful adoption and implementation of new standards and practices. The Director will focus on managing and improving the revenue cycle, including enhancing… more
- Ascendis Pharma (FL)
- …workplace for employees to grow and develop their skills. The National Director , Field HEOR serves as a strategic scientific liaison responsible for developing ... RWE and HEOR research activities (including retrospective/prospective research concepts, claims analyses, and economic modeling, etc) to support HEOR objectives.… more
- Danaher Corporation (Orlando, FL)
- …the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for ... coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a pivotal… more
- Marriott (Sarasota, FL)
- …**Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management. * Brings issues to the ... and reports all employee accident and general liability incidents to Claims Reporting Service. * Conducts hourly employee performance appraisals according to… more
- Marriott (Miami, FL)
- …**Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management. * Brings issues to the ... and reports all employee accident and general liability incidents to Claims Reporting Service. * Conducts hourly employee performance appraisals according to… more
- CVS Health (Tallahassee, FL)
- …every day. This position is classified as remote **Position Summary** The Lead Director Financial Reporting & Analytics will report directly to the Chief Financial ... collaboration and drive impact. Lead the coordination of complex financial and claims analytics to determine the impact and support local market decisions. Position… more
- Oracle (Tallahassee, FL)
- …and modernize health systems globally. We are seeking a Senior Software Director to lead our AI engineering efforts across healthcare reimbursement, patient ... AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial management, and follow-up).… more
- Evolent (Tallahassee, FL)
- …of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of ... diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorisation data… more
- Aveanna Healthcare (Miami, FL)
- RN Clinical Director of Operations 10k Sign On Bonus ApplyRefer a FriendBack Job Details Requisition #: 209130 Location: Miami, FL 33166 Category: Nursing Salary: ... regulations * Oversight if internal billing and collection efforts to generate clean claims * Perform other duties as assigned Benefits Offerings: + 401(k) with… more