- Elevance Health (Miami, FL)
- …and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . Proficient in all basic customer service areas performs some but ... preferred. + Experience taking inbound calls, texts and chats. + Behavioral health and/or managed care experience preferred. + Proficiency in typing with speed… more
- Elevance Health (FL)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Jersey, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,..._._ * The salary range is the range Elevance Health in good faith believes is the range of… more
- Elevance Health (Miami, FL)
- …implement coordinate, monitor, and evaluate care plans designed to optimize member health care across the care continuum and ensuring member access to services ... appropriate to their specific health needs. **How you will make an impact:** +...treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Tampa, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... an Impact:** + Uses analytic tools to: track both health risks and compliance, as well as supporting the...experience nice to have Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Miami, FL)
- …(CPC or CCS-P) required. **Preferred Skills, Capabilities, and Experiences:** + Claims processing experience preferred. + Knowledge of medical terminology and ... anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance … more
- Elevance Health (Tampa, FL)
- …**Be Part of an Extraordinary Team** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new ... management. + Respond to and resolve issues related to member/provider complaints, claims processing issues and appeals. **Minimum requirements:** + PharmD from an… more
- Elevance Health (Tampa, FL)
- …Capabilities, and Experiences:** + Previous experience in high-volume operations ( claims , customer service, enrollment and billing) strongly preferred. Please be ... advised that Elevance Health only accepts resumes for compensation from agencies that...from agencies that have a signed agreement with Elevance Health . Any unsolicited resumes, including those submitted to hiring… more
- Elevance Health (Lake Mary, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... initiatives and acts as project lead. + Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process. +… more
- Health Plans, Inc. (Palm Beach Gardens, FL)
- …us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you'll contribute to ideas ... for the drafting of ERISA Plan Documents for client's Employee Health & Welfare Benefit Plans utilizing writing, analytical, organizational and administrative… more
- Elevance Health (Tampa, FL)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... to management. + Uses analytic tools to track both health risks and compliance, as well as supporting the...Nevada, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more