- Molina Healthcare (Orlando, FL)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- Molina Healthcare (Tampa, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other...Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare … more
- ChenMed (Miami, FL)
- …and prioritize opportunities, and spot trends + Extensive knowledge of healthcare /medical economics data such as hospital/physician /ASC claims , utilization ... will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the opportunity for impact… more
- Molina Healthcare (Jacksonville, FL)
- …of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment ... Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in...increase operational efficiency, and effectiveness. **Knowledge/Skills/Abilities** + 8+ years Healthcare or Operational experience in related job. + 2… more
- Molina Healthcare (FL)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5… more
- HCA Healthcare (Trinity, FL)
- …This position is incentive eligible. **Introduction** Managers thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. .You will ensure responsibility… more
- HCA Healthcare (Sun City Center, FL)
- …This position is incentive eligible. **Introduction** Managers thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. . You will ensure… more
- HCA Healthcare (Sunrise, FL)
- …as an Employee Health LPN? At HealthTrust Workforce Solutions, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...Assisting RN on follow-ups and management of work injuries claims . Maintains a safe and therapeutic environment .… more
- Molina Healthcare (Miami, FL)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- Kyndryl (Tallahassee, FL)
- …transforming Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) ... communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is a strong plus, especially in payer/provider… more