- CVS Health (Tallahassee, FL)
- …a fast-paced, agile environment leveraging cutting-edge technology to reimagine how Healthcare is provided. You will be instrumental in designing, integrating, and ... The position is open in a data engineering team that is responsible for processing Claims , Revenue, Rx Medicare Specific files and data from 30+ payors into our Data… more
- ChenMed (Miami, FL)
- …and Machine Learning (ML) driven solutions based on a rich stream of clinical, claims , payer, and behavioral data. The Senior Data Scientist operates in a highly ... to deliver analytics products that have the potential to fundamentally alter how healthcare is thought about and delivered in a large scale. **ESSENTIAL JOB… more
- Humana (Tallahassee, FL)
- …+ Experience with identifying and/or reporting fraud, waste and abuse within the healthcare industry + Knowledge of the Medicare and Medicaid programs + Experience ... 2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data programming applications (ie SQL,… more
- Butterfly Effects (Deerfield Beach, FL)
- …you detail-oriented, compassionate, and ready to be part of a purpose-driven healthcare team? Butterfly Effects is looking for a Patient Medical Collection ... of contact for clients navigating benefits, payment responsibilities, and claims -providing the empathy, professionalism, and precision that our families deserve.… more
- CVS Health (Tallahassee, FL)
- …to complex issues, regarding policies and procedures, contract language, service, claims or compensation issues, and provider education needs. + Optimizes ... the organization. + Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Elevance Health (Tampa, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... models to create predictive impact decision making tools; performing healthcare cost analysis to identify strategies to control costs;...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Northwest Florida Community Hospital (Chipley, FL)
- …Experience: A minimum of five (5) years management experience in healthcare receivables required. Work record that demonstrates in-depth knowledge of hospital ... knowledge of medical terminology, negotiating skills, and knowledge of healthcare industry financial statistical information. Licenses, Certifications and/or Registrations:… more
- Ascendis Pharma (FL)
- …RWE and HEOR research activities (including retrospective/prospective research concepts, claims analyses, and economic modeling, etc) to support HEOR objectives. ... Pharma medical affairs. + Facilitate 1:1 and group scientific interactions with healthcare professionals. + Participate in payer account planning with Market Access… more
- Elevance Health (FL)
- …plan design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Coordinates open enrollment meetings, renewal ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more