- Healthfirst (FL)
- …Qualifications** + Demonstrated experience or deep understanding of healthcare Operations processes and supporting systems such as Claims Processing, ... + Experience in Healthcare /Health Plan customer service, operations , vendor management, or claims processing. +...Demonstrated experience or deep understanding of healthcare Operations processes and supporting systems such as Claims… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... reliability, and compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities** **Fleet … more
- The Cigna Group (Tampa, FL)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member of the Provider… more
- Molina Healthcare (St. Petersburg, FL)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... audits as needed + Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state +… more
- Molina Healthcare (St. Petersburg, FL)
- …highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for...operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- HCA Healthcare (Palm Harbor, FL)
- …This position is incentive eligible. **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As ... a Director of Revenue with HCA Healthcare you can be a part of an organization...as the central point of contact for revenue cycle operations in the PHY Division for our Parallon business… more
- CVS Health (Tallahassee, FL)
- …sponsors' benefit requirements and facilitate the design and implementation of customized healthcare benefit plans. + Provide expert advice and guidance on benefit ... compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue… more
- Walgreens (Lake Wales, FL)
- …reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... development by monitoring own performance, solicits constructive feedback, and leverages Healthcare Supervisor and Store Manager as mentors and coaches.… more
- Zelis (St. Petersburg, FL)
- …gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare... and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the… more
- Molina Healthcare (Jacksonville, FL)
- …The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, and recommend business practices to ensure ... Analyst develops and performs audits and oversight functions involving business-critical operations and vendor outsourcing arrangements for the company. The Sr.… more