- Elevance Health (Miami, FL)
- …policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates to support draft development ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Centene Corporation (Tallahassee, FL)
- …health of member, treatment needs, and discharge planning + Analyzes BH member data to improve quality and appropriate utilization of services + Provides education ... members and their families regrading BH utilization process + Interacts with BH healthcare providers as appropriate to discuss level of care and/or services +… more
- Humana (Tallahassee, FL)
- …reporting completed. Conducts and summarizes compliance audits. + Collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Elevance Health (Tampa, FL)
- …to ensure quality of implementation; coordinates and prepares the reporting of data security events and incidents. + Provides system and network architecture support ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Elevance Health (FL)
- …terms for group prospects, utilizing a combination of other carrier experience, demographic data and manual rates. + Prepares or supervises the preparation of annual ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- CVS Health (Tallahassee, FL)
- …work using Microsoft Excel, enterprise accounting platforms (SAP), and large data repositories. + Perform detailed manual calculations, large standard payment ... assigned accounts. + Stays informed about industry trends, changes in healthcare regulations, and advancements in revenue cycle management practices. **For this… more
- Option Care Health (Tallahassee, FL)
- …that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** This position is responsible for processing benefit ... focus. **Travel Requirements** Not Applicable **Preferred Qualifications & Interests** Healthcare /medical billing experience preferred. May perform other duties as… more
- Bluestone Physician Services (Fort Myers, FL)
- …multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored ... Using an evidence-based approach focused on quality care management and data -driven medical decisions, Bluestone care teams collaborate to manage patients' chronic… more
- Intermountain Health (Tallahassee, FL)
- …utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare , and social/spiritual services as appropriate. Supports the ... utilization mitigation. + Identifies appropriate resources, including transportation, housing, healthcare , and social/spiritual services as appropriate. + Supports the… more
- Copeland (Tallahassee, FL)
- …major cloud providers + Experience in related fields, eg customer support or data science + Experience with a functional programming languages **WHY WORK REMOTE** ... Copeland offers an excellent compensation package with driven salary, comprehensive healthcare package, 401k (75% company match up to 5%), quarterly company… more