- 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 individual who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying, leading, and executing… more
- Healthfirst (FL)
- …+ Bachelors degree from an accredited institution + Experience in Healthcare/ Health Plan customer service, operations , vendor management, ... on trending audit finding results and summarizing details to Operations leadership to address identified areas for improvement. +...lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family… more
- Highmark Health (Tallahassee, FL)
- …and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations . **ESSENTIAL RESPONSIBILITIES** + Perform management ... business. This will require aligning new models to the health plan 's strategic objectives based on a...Plan , organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …school diploma required; Associates Degree or higher preferred + Minimum 2 years Health Plan Operations experience including; Enrollment (preferred), Claims ... the needs of government-sponsored health plans. OUR MISSION To improve health plan operations and elevate the customer experience. OUR VISION Empowering … more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Degree or equivalent. Associates Degree or higher preferred. + Minimum 2 years Health Plan Operations experience including; Customer Service, Enrollment, and ... the needs of government-sponsored health plans. OUR MISSION To improve health plan operations and elevate the customer experience. OUR VISION Empowering … more
- Convey Health Solutions (Fort Lauderdale, FL)
- …meet the needs of government-sponsored health plans. OUR MISSION To improve health plan operations and elevate the customer experience. OUR VISION ... services, which include but not limited to updating account information, providing plan information, resolving issues with utilization of the plan . Place… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …meet the needs of government-sponsored health plans. OUR MISSION To improve health plan operations and elevate the customer experience. OUR VISION ... include but not limited to updating account information, providing plan information, resolving issues with utilization of the ...$16.32 per hour About Us WHO WE ARE Convey Health Solutions manages a myriad of administrative needs and… more
- Molina Healthcare (St. Petersburg, FL)
- …point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations . Coordinates and facilitates meetings providing ... processing and maintenance of new members and re-enrollment. Processes and maintains health plan 's member and enrollment records, employer's monthly reports,… more
- Evolent (Tallahassee, FL)
- …transformative growth opportunities at customer accounts + Strong knowledge of health plan operations , care/utilization management, claims processing, ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health … more
- Molina Healthcare (FL)
- …10 years' experience in Managed Care, specifically government programs and/or Medicare/Duals Health Plan Operations or equivalent combination of education ... program. Supports integrated duals product development in collaboration with enterprise and health plan teams. Supports integrated teams in continual process… more