- Devereux Advanced Behavioral Health (Orlando, FL)
- …Devereux provides mental and behavioral health services as well as child welfare case management services for children, adolescents and adults whose needs are ... the credentialing process for new programs joining MMAs or insurance companies. + Re-credential existing programs and providers as...Perform other duties as assigned by the Supervisor or Management . + Complete credentialing for new MDs and ARNPs… more
- Sedgwick (Jacksonville, FL)
- …and coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims. + Establishes and maintains ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Account Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE**… more
- HCA Healthcare (Port Charlotte, FL)
- …What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- MyFlorida (New Port Richey, FL)
- …assure appropriateness, clarity, quality, thoroughness and proper documentation. + Use management tools in appropriate information system(s) on an ongoing basis to ... to provide proof of vehicle registration and documentation of the appropriate insurance coverage. The Department provides a Vehicle Insurance Allowance to… more
- Veterans Affairs, Veterans Health Administration (Sorrento, FL)
- Summary This position is located in the Health Information Management (HIM) section at the White City VA SORCC. MRTs (Coder) are skilled in classifying medical data ... Responsibilities The supervisory coder creates and monitors outpatient reports, inpatient case mix reports, top DRGs, and key performance indicators to identify… more
- Highmark Health (Tallahassee, FL)
- …SUMMARY** Work with Pharmacy Markets business owners, stakeholders and other management , as required, to achieve Pharmacy Markets growth objectives. Organize and ... to understand business needs, processes project specifications and business case development. Translate business needs into clearly defined and documented,… more
- MyFlorida (Gainesville, FL)
- …minimum qualifications. Hiring Information and Requirements: + The Bureau of Personnel Management reviews every application for prior State of Florida and Florida ... & Responsibilities: (Note: The omission of specific job duties does not preclude management from assigning specific duties not listed herein if such duties are a… more
- SitusAMC (Tallahassee, FL)
- …to participate in various benefit plans, including medical, dental, vision, life, disability insurance and 401K; in each case in accordance with the terms ... role is timely and critical as we integrate our finance and contract management systems with Salesforce to create a unified platform for tracking and forecasting… more
- CVS Health (Jacksonville, FL)
- …members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of… more
- ADP (Miami, FL)
- …Delivery:** Leverage your successful track record of superior delivery and change management within an enterprise organization to drive positive change and growth. ... a strong foundation in data analytics, engineering, and project management with a minimum of 10 years of hands-on...a product/pod leadership directing the team to achieve use case goals. + **Data Expertise:** Exhibit deep experience with… more