- Molina Healthcare (St. Petersburg, FL)
- …Supporting the OH Plan, the candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to our state regulator in these areas. ... developer role but the candidate must be technically inclined and interface with IT, Claims , and Encounter Teams. Must be a self-starter willing to learn. Must be a… more
- Oracle (Tallahassee, FL)
- …data in at least one visualization tool like BO or Tableau + Healthcare experience with Medicaid/Medicare Claims Reporting **Expectations** + Perform other ... and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a...care across the globe. If you're excited about making healthcare more human, you've come to the right place.… more
- AssistRx (Orlando, FL)
- …scheduling, automating, and distributing recurring operational and client reports. + Healthcare Data Fluency - Understanding of claims , prescription, patient, ... team plays a crucial role in that mission - transforming complex healthcare data into actionable insights that improve outcomes for patients, providers, and… more
- HCA Healthcare (Aventura, FL)
- …Risk Management Coordinator? At HCA Florida Aventura Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Cognizant (Tallahassee, FL)
- **Facets Healthcare Developer** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00065752001** **About the role** As a **Senior Developer** , you will ... make an impact by designing, developing, and deploying robust solutions for healthcare platforms. You will be a valued member of the delivery team and work… more
- Molina Healthcare (St. Petersburg, FL)
- …Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education** ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's… more
- Molina Healthcare (St. Petersburg, FL)
- …release notes to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and files that support ... or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg, performing… more
- Molina Healthcare (Jacksonville, FL)
- …vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Review of claims identified ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Jacksonville, FL)
- …and business leaders to enable enterprise wide capabilities. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... the Provider Online Directory, Utilization Management, Customer Experience, Enrollment, and Claims Payment and Processing. + Develop and enforce operating procedures… more
- HCA Healthcare (Niceville, FL)
- …HCA Florida Twin Cities Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) RN Infection Prevention and Employee Health to join ... our healthcare family. **Benefits** HCA Florida Twin Cities Hospital, offers...inservices. Ensures the timely processing of employee workers' compensation claims ; evaluates occurrence reports to determine accuracy and completeness.… more