- Molina Healthcare (Tampa, FL)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. ... to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and… more
- Molina Healthcare (Tampa, FL)
- …critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- Molina Healthcare (St. Petersburg, FL)
- …management as it relates to state requirements. + Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery and ... **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis + Bilingual in Spanish To all current Molina employees: If… more
- Molina Healthcare (St. Petersburg, FL)
- …**Education** * Bachelor's degree - Health Administration, Business, Information Systems , or related field (advanced degree a plus). **Experience** * ... external partners. * Demonstrated ability to translate regulatory change into road-mapped system and workflow upgrades. To all current Molina employees: If you are… more
- Molina Healthcare (Miami, FL)
- …on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network ... to provider loads including, but not limited to, Configuration, Business Systems , Encounters (inbound and outbound), Claims, Provider Services and Contracting. *… more
- Molina Healthcare (Jacksonville, FL)
- …critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- BayCare Health System (Tampa, FL)
- …transform patient outcomes. Why Choose BayCare? At BayCare, we are more than just a healthcare system -we are a community dedicated to excellence. As one of the ... excellence If you're looking for a rewarding, high-energy career in a leading healthcare system , this is your chance! Join BayCare's Heart & Vascular Team and… more
- Molina Healthcare (Miami, FL)
- …This role is critical in driving successful launches of new processes, systems , and operational models across Medicaid, Medicare, and Marketplace lines of business. ... responsibilities include:** + Leading operational readiness efforts for new processes, systems , and operational initiatives across provider data and credentialing +… more
- Molina Healthcare (Miami, FL)
- …DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and ... and request any missing information. * Updates credentialing software systems with required information. * Requests recredentialing applications from providers… more
- HCA Healthcare (Gainesville, FL)
- …Asst Host Hostess? At HCA Florida North Florida Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...in accordance with the facility requirements in the computer system .** + **Creates an provides meal tickets, production sheets,… more