- Elevance Health (Miami, FL)
- …or CST.** **Federal Employee Program - FEP** , a proud member of the Elevance Health , Inc. family of companies, it is a powerful combination, and the foundation upon ... our members, greater value for our customers, and greater health for our communities. Join us and together we...consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve… more
- Elevance Health (Miami, FL)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/Utilization** **Review** **Virtual:** ... unless an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director** is responsible for supporting the medical management… more
- Elevance Health (Tampa, FL)
- …I** is responsible for providing non-clinical support to the Medical Management and/or Operations areas. **How you will make an impact:** Primary duties may include, ... complex cases. + May act as liaison between Medical Management and/or Operations and internal departments. + Maintains and updates tracking databases. + Prepares… more
- Elevance Health (Tampa, FL)
- **Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central** ... unless an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director - Orthopedic Spine Surgery** is responsible for… 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 ...on the challenge of supporting HR and Payroll business operations by providing optimal and scalable technology solutions. This… 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 ... Monthly Reconciliation queues + Daily and Monthly Pharmacy Benefit Manager (PBM) + Monthly MMR, PWR, LIS History and...government-sponsored health plans. OUR MISSION To improve health plan operations and elevate… more
- Option Care Health (Tampa, FL)
- …provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in ... states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and… more
- Elevance Health (Tampa, FL)
- …clear, accurate and concise audit work papers that summarize scope, audit plan methodology and conclusions for audit field work and provide sufficient evidentiary ... accounting (eg, Big Four) audit experience. Understanding of insurance company operations and regulations. + Experience working in a complex IT/IS environment.… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …a clinical Social Worker assigned to the North Florida/South Georgia Veterans Health System (NF/SGVHA) in the Social Work Service with responsibilities including ... the psychosocial needs of patients and the impact of psychosocial problems on health care and compliance with treatment. Plans and organizes work, coordinates with… more
- Elevance Health (Tampa, FL)
- …Prepare clear, accurate and concise audit work papers that summarize scope, audit plan methodology and conclusions for audit field work to stakeholder groups with ... IT audit or consulting experience preferred. + Understanding of insurance company operations and regulations preferred. + Experience working in a complex IT/IS… more