- Molina Healthcare (FL)
- …ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position ... and regulatory requirements, while meeting production goals. * Communicates with health care providers to clarify questions and request any missing information.… more
- GE Aerospace (Jacksonville, FL)
- …terms & conditions (T&Cs) of the contract, and the management of claims . The role requires cross-functional leadership capability and has autonomy within your ... delivery, commercial, readiness and all elements within these areas (ie WIP Health , commits, payables, tooling, etc.) + Where supplier performance does not meet… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Encounter Data Management Lead supports the Encounter Data Management team within the ... and/or Medicaid product management or support. + Familiarity with Claims Adjudication Systems (CAS). + Knowledge of X12 transaction...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- MyFlorida (Tallahassee, FL)
- …salaried employees. As a State Agency, OIR offers excellent benefits, including health , dental, and vision insurance; retirement plans; flexible spending accounts; ... health savings accounts; and more. OIR also offers annual...& Casualty Financial Oversight, and Communications to prepare catastrophe claims data for dissemination + Works in conjunction with… more
- Oracle (Tallahassee, FL)
- **Job Description** Oracle Health Applications & Infrastructure (OHAI) is transforming healthcare by leveraging AI and advanced technologies to deliver automated, ... revenue cycle management capabilities, such as charge capture, contract management and claims generation. As a Senior Member of Technical Staff, you will collaborate… more
- Oracle (Tallahassee, FL)
- **Job Description** Oracle Health Data Intelligence (HDI) is leading the charge in transforming healthcare with innovative data and AI solutions. We're seeking a ... AI to synthesize insights from multi-modal healthcare data (eg, EHRs, imaging, claims , and demographics) to enhance patient care and operational efficiency. *… more
- WTW (Miami, FL)
- …teams of consultants across WTW, including brokers, service colleagues, and claims advocates, to deliver efficient and effective support. This role requires ... package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), Dental, Vision,… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Network Adequacy Professional 2 understands department, segment, and organizational ... within the healthcare field + Previous experience with medical claims + Project management experience **Additional Information** This role...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations ... CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Republic Finance, LLC (Tampa, FL)
- …averages $8,000 annually. In addition, we offer amazing benefits and perks, including health , dental, and vision insurance with employer contribution as well as paid ... analysis, making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you assist the Branch Manager… more