- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...Manager in a Managed Care Organization (MCO) or health plan setting, or equivalent combination of relevant education… more
- CVS Health (Largo, FL)
- …it all with heart, each and every day. **Position Summary** The Benefits Analyst, Account Manager at CVS Health , you will play a critical role in supporting ... At CVS Health , we're building a world of health...in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and… more
- AdventHealth (Maitland, FL)
- …claims for all provider types Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Deloitte (Tallahassee, FL)
- Pharmacy Benefit Manager / Health & Group Benefits Senior Consultant Human CapitalOur Human Capital practice is at the forefront of transforming the nature of ... vendors by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …inspired by helping others reach their potential? Join Devereux as a Revenue Cycle Manager !_ We are seeking a dynamic, positive Revenue Cycle Manager who ... the better! Located in Orlando, FL the Revenue Cycle Manager will be responsible for monitoring and reporting on...in all Microsoft Office applications as well as Electronic Health Record software. Excel skills using pivot tables, charts,… more
- Elevance Health (Tampa, FL)
- …required if this individual is providing services in multiple states. Certification as a Case Manager and a BS in a health or human services related field ... **Nurse Case Manager I** **Location- Virtual:** This role enables associates...monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Perform duties telephonically… 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 transforming ... health care. As the nation's leading health ...user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications.… more
- Carnival Cruise Line (Miami, FL)
- …include reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also ... This role reports to the Senior Manager of Case Management and oversees the daily...team to assess fitness for duty per International Maritime Health standards. + **Crew Medical Claims Management**… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager I** **Work schedule:** **Monday - Friday 9:00am - 5:30pm or 9:30am - 6:00pm EST** . **Location:** This role enables associates to ... states; therefore, **Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management within the scope… more
- Elevance Health (Tampa, FL)
- …equivalent background. **Preferred Skills, Capabilities and Experiences:** + Certification as a Case Manager and a BS in a health or human services related ... **Nurse Case Manager I** **Schedule:** Monday - Friday, 8am-4:30pm EST...monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically… more