- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...seek to connect the pieces of fragmented health care system and ensure people get the same level of… more
- CVS Health (Tallahassee, FL)
- …of internal and external partners. + Ability to utilize Meritain's proprietary system for analytical coding of detailed customized plans, rather than standard ... manual processing and disruption for the clients. + Uses business knowledge and experience to make plan design and...and benefit structures based on customers' objectives and Meritain's system . + Executes system setup and mapping… more
- Highmark Health (Tallahassee, FL)
- …and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of ... in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL… more
- CVS Health (Tallahassee, FL)
- …healthcare outcomes by designing, implementing, and maintaining health information systems , analyzing quality healthcare data, and applying statistical ... effectiveness analyses and other health outcomes analyses. Applies expertise in healthcare and information technology to ensure efficient data management, promote… more
- Sargent & Lundy (Palm Beach Gardens, FL)
- …expanding work in the Mechanical Analysis Engineering group. You will work on major systems , equipment and plant process in the following areas: + Develop and lead ... licensing basis system and component evaluations for nuclear power uprate projects....practical application of mechanical engineering and technology including applying systems , principles, techniques, procedures, and equipment to a project… more
- CVS Health (Tallahassee, FL)
- …conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with ... and legal review. - Documents all appropriate case activity in case tracking system . - Prepares and presents referrals, both internal and external, in the required… more
- Intermountain Health (Tallahassee, FL)
- …Participates, researches and follows-up on topics presented at department and system -wide initiatives. These may include audits and reviews for government, ... payers. 4. Monitors status of RI activities using a defined tracking system , ensuring timely responses. Assists in the determination of appropriate responses and… more
- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Own daily product and data operations, supporting critical client systems with precision and urgency. + Configure and customize… more
- CVS Health (Tallahassee, FL)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- Highmark Health (Tallahassee, FL)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Markets business owners, stakeholders and other management, as required, to achieve Pharmacy ... and effectively with customers regarding issues or concerns. Depending on the Pharmacy Markets business unit, may be responsible for one or more of the following: +… more