- CVS Health (Largo, 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 ...complex or repeated issues and ensure timely follow-through. + ** Compliance & Documentation:** Ensure all interactions and activities align… more
- Elevance Health (Miami, FL)
- …authorization reviews to ensure turnaround time is met and we are in compliance with all Pharmacy Benefit Management regulatory requirements. **How you will make an ... + Must possess an active unrestricted medical license to practice medicine or a health profession. + Unless expressly allowed by state or federal law, or regulation,… more
- Elevance Health (FL)
- …by law._ **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities… more
- Elevance Health (Tampa, FL)
- …by law._ **Carelon Payment** Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... accounting or finance and a minimum of 5 years experience in a finance/ health insurance field capacity and experience with relational databases and mainframe and… more
- Highmark Health (Tallahassee, FL)
- …but not limited to client, group, rates, and commissions data. HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health , a national blended health organization with a mission to create remarkable health experiences. Our… more
- Trinity Health (Fort Lauderdale, FL)
- …Type:** Full time **Shift:** Day Shift **Description:** **Holy Cross Health named Forbes America's Best Employer for Healthcare Professionals** **Position ... management of the day-to-day operations and prioritization of needs of each Local Health Ministry and department by ensuring a patient centered delivery of care,… more
- Elevance Health (Tampa, FL)
- …is granted as required by law._ A proud member of the Elevance Health family of companies, **CarelonRx** (formerly IngenioRx) leverages the power of new technologies ... to pharmacy benefit management and pharmacy operations teams. + Ensures compliance of the Medicaid formularies with state/federal mandates and contractual… more
- Elevance Health (Tampa, FL)
- …is responsible for managing a team of physical and/or behavioral health practitioners responsible for coordinating member service, utilization, access, care ... management and/or concurrent review to ensure cost effective utilization of health , mental health , and substance abuse services for one or more member product… more
- Elevance Health (FL)
- …the Possibilities. Make an extraordinary impact.** A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon ... Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee...of resources, services and natural support systems. + Ensures compliance with all HIPAA, OSHA, and other federal, state,… 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 ...New Relic, or AppDynamics. + Familiarity with IT security, compliance , operations, and application development. + Experience implementing and… more