- Humana (Tallahassee, FL)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- MyFlorida (Orlando, FL)
- …for an exemption under this subsection is submitted; or (b) Served in the special operations forces for a minimum of 5 years, provided there is no more than a ... 4-year break from the applicant's special operations forces experience, as measured from the separation date...s. 943.135. Preference will be given to candidates with healthcare fraud investigative experience working in a Medicaid Fraud… more
- CVS Health (Tallahassee, FL)
- …Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team. To be… more
- The Cigna Group (Sunrise, FL)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting… more