- Cleveland Clinic (Vero Beach, FL)
- …and will build a rewarding career with one of the most respected healthcare organizations in the world. The Department of Gastroenterology, Hepatology and Nutrition ... Assistant on the team, you will assist your fellow LPNs, RNs and other healthcare staff in providing exceptional patient support and attention. This position is a… more
- CVS Health (Tallahassee, FL)
- …to other internal and external constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and ... applies the appropriate medical necessity criteria/guideline, policy , procedure, and clinical judgment to rendercoverage determination/recommendation/discharge planning… more
- MyFlorida (Panama City, FL)
- …Managed Care, Medicare, Private Insurance Companies, Organizations, etc) for personal healthcare and dental services provided by qualified staff of the Florida ... 30 days of the date denial is received per FDOH Accounts Receivable Policy (DOH 56-66-17). Solves billing problems by combining, evaluating and reasoning with… more
- Highmark Health (Tallahassee, FL)
- …requested. **EDUCATION** **Required** + Bachelor's Degree in Accounting, Finance, Business Administration , Nursing, IT or Related Field **Substitutions** + 6 years ... years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in an… more
- Sparton Corporation (De Leon Springs, FL)
- …or subcontract experience. + Bachelor's degree in Supply Chain Management, Business Administration , or related field. + Competency working with MS Office Suite ... in the work environment can be loud. Benefits Highlights Healthcare + Robust medical, dental, vision, & disability coverage....If there is a conflict with these highlights, company policy or benefits plan documents shall govern. Benefits are… more
- Highmark Health (Tallahassee, FL)
- …solutions and completes documentation. **EXPERIENCE** **Required** + 3 years of systems administration experience within one or more Epic modules. **Preferred** + 3 ... years of experience in the healthcare or health insurance industry **SKILLS** + Ability to...Handbook of Privacy Policies and Practices and Information Security Policy ._ _Furthermore, it is every employee's responsibility to comply… more
- MyFlorida (Alachua, FL)
- …with community stakeholders to include but not limited to: the Agency for Healthcare Administration (AHCA), Children's Medical Services, the Community Based Care ... such as a medical home model that integrates primary, specialty, behavioral, dental healthcare , and provides for the appropriate continuity of care for all children… more
- Elevance Health (Tampa, FL)
- …within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the ... recommendations on pricing, marketing, product design, claims, premium and enrollment administration of business unit. + Responsible for valuation support for… more
- Mayo Clinic (Jacksonville, FL)
- …Licensure/Certification. Current American Heart Association certification (Title: BLS for Healthcare Providers or BLS Provider). Current Red Cross certification ... CPR/AED for Professional Rescuers and Health Care Providers or BLS for Healthcare Providers). Current Military Training Network certification. Must have and maintain… more
- Highmark Health (Tallahassee, FL)
- …how large-scale analytics and AI solutions deliver measurable impact in healthcare operations. **REQUIRED QUALIFICATIONS** + Bachelor's degree. + Pursuance of a ... 3-5 years of industry experience. + Pursuing a Master's in Business Administration , Analytics, Information Systems, or related field. + Strong analytical and… more
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