- Molina Healthcare (St. Petersburg, FL)
- …detail and knowledge of data structure and programming + Performing financial analysis to assist in delivering optimal health care management and decision ... Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy… more
- Highmark Health (Tallahassee, FL)
- … insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 ... laws with regard to lines of business + Coordinates data extracts by assessing multiple databases both internally and...have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along… more
- Intermountain Health (Tallahassee, FL)
- …to appropriate populations. It ensures compliance and accurate submission of publicly reported data for all payers. It assigns ICD-10 and DRG codes to identify key ... populations for care delivery improvement and accurate data for patient populations. It provides specific coding expertise in the various fields of NCCI edits, Drugs… more
- Greenway Health (Tampa, FL)
- Greenway Health is seeking a Product Architect who is a self-starter and passionate about solving challenging and complex problems. The candidate will work with both ... Academy the new Engineering hires go through. + Perform "current state" analysis to determine the baseline of product performance, reliability, security, and… more
- Highmark Health (Tallahassee, FL)
- …and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative ... + None **Preferred** + None **SKILLS** + Problem solving, root cause analysis , and issue resolution + Demonstrated leadership skills + Experience in Healthcare… more
- Justice, Bureau of Prisons/Federal Prison System (Tallahassee, FL)
- …HSA to implement the Bureau's re-entry initiates including timely Inmate Skills Assessment data entry at admission and evaluation of health status documented in ... successful reentry into our communities. Responsibilities In collaboration with the Health System Administrator (HSA) and the Clinical Director, provides oversight… more
- Humana (Tallahassee, FL)
- …Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of ... **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care… more
- Justice, Bureau of Prisons/Federal Prison System (Coleman, FL)
- …HSA to implement the agency's re-entry initiatives including timely Inmate Skills Assessment data entry at admission and evaluation of health status documented ... successful reentry into our communities. Responsibilities In collaboration with the Health Services Administrator (HSA), the Clinical Director, and peer Assistant … more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …follow up and outreach as needed. . Quality Management: Review case management reports/ data , available within the Sunshine Health Envolve Portal and respond to ... div> Minimum Starting Salary: $62,000/annually Position Summary: The Behavioral Health Coordinator is responsible for fulfilling all contractual requirements… more
- HCA Healthcare (Sunrise, FL)
- …you want to join an organization that invests in you as an Employee Health LPN? At HealthTrust Workforce Solutions, you come first. HCA Healthcare has committed up ... Solutions, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...INCLUDE BUT ARE NOT LIMITED TO** : . Collects data of a work injury event and reports the… more