- AssistRx (Orlando, FL)
- …operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations and provide ongoing ... The Copay Support Program Manager is a critical role within the organization...programs. + Familiarity with patient assistance programs, specialty pharmacy operations , and healthcare compliance standards. Benefits +… more
- Healthfirst (FL)
- …problem solving, and analytical skills. + Experience within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). ... value. + Collaborate with Information Technology, Business Transformation and Operations teams to support effective department management including introducing new… more
- Elevance Health (Tampa, FL)
- **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National... Systems** will be part of Elevance Health's National Operations Command Center (NOCC) which is responsible for E2E… more
- Elevance Health (Tampa, FL)
- …integrity across CareBridge. The ideal candidate has experience working in leading healthcare payer claims / revenue cycle management (RCM) organizations, with ... **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be...and Elevance Health leadership across Product, Analytics, and Clinical Operations teams. + Advises on vendor investments and operational… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (Miami, FL)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... Network), for management and supervision of daily functional operations to insure compliance to contract requirements. **Knowledge/Skills/Abilities** * Oversees… more
- Molina Healthcare (St. Petersburg, FL)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor… more
- Molina Healthcare (St. Petersburg, FL)
- …outcomes and benefit realization + Demonstrates deep understanding of Core Operations , Claims and Enrollment processes, deliverables, vendor partners and ... productivity, quality, compliance + Articulates the goals and objectives of Molina Healthcare business units to vendors supporting operations of those units… more
- Molina Healthcare (St. Petersburg, FL)
- …The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Walgreens (Miami, FL)
- …with the Store Manager **Job ID:** 1662460BR **Title:** Pharmacy Operations Manager **Company Indicator:** Walgreens Boots Alliance **Employment Type:** ... when using the pharmacy. Enhances customer experience by increasing focus on healthcare services. ** Operations ** + Responsible for assisting pharmacist in the… more