- Elevance Health (Miami, FL)
- …and methodologies; statistical analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data, ... health policy, or related experience is preferred. + Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big… more
- Elevance Health (Tampa, FL)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- Elevance Health (Altamonte Springs, FL)
- …The **Credit and Collection Specialist** is responsible for collection activities related health insurance claims and patient balances. **How You Will Make ... of collecting past due insurance premiums and/or past due health insurance claims . + Researches validity of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CVS Health (Tallahassee, FL)
- …pharmacy claims data * Experience in healthcare industry, including health insurance, PBM or pharmacy services **Education** * Bachelor's degree or equivalent ... At CVS Health , we're building a world of health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Molina Healthcare (Tampa, FL)
- …or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of ... who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Trinity Health (Fort Lauderdale, FL)
- …and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience** **,** **as ... work of assigned staff including the monitoring of competencies. Develops with manager goals and objectives, conducts annual performance appraisals with manager … more
- Carnival Cruise Line (Miami, FL)
- Processes data entry, vendor claims , and Purchase Order (PO) research. Job Functions: + Process vendor claims , internal department claims , delivery receipts ... + The Receiving Coordinator role processes data entry, vendor claims , and Purchase Order (PO) research. + Process vendor...and innovative benefits to meet your needs, including: + Health Benefits: + Cost-effective medical, dental and vision plans… more
- AdventHealth (Altamonte Springs, FL)
- …Nurse for the Employee Clinic collaborates closely with the Employee Clinic Manager , regional Employee Health Managers, Medical Directors, and both clinical ... planning, implementing, and evaluating) and primary nursing principles. The Employee Health Registered Nurse also oversees Workers' Compensation claims , hospital… more
- MyFlorida (Bay Pines, FL)
- …- Only Current Employees of the Agency are Eligible to Apply** Office Operation Manager I SES FLORIDA DEPARTMENT OF VETERANS' AFFAIRS Bureau of Veterans' Claims ... credentials. Excellent retirement package and optional deferred compensation plan. Health , vision, dental, disability, and other supplemental insurance available at… more
- Molina Healthcare (Tampa, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... objectives and processes associated with the enterprise. + Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been… more