- Humana (Tallahassee, FL)
- …Engineer will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. ... pricers including: + Reviewing pricing software vendor specifications. + Identifying system changes needed to accommodate state-specific logic. + Assisting with… more
- Humana (Tallahassee, FL)
- …resources, and drive accountability across all stakeholders + Coordinate system connectivity efforts including data migrations, API integrations, EDI transactions, ... RFPs + Hands-on familiarity with API integrations, EDI, data mapping, and system connectivity across healthcare data standards + Deep understanding of pharmacy… more
- Humana (Tallahassee, FL)
- …Proven ability to operate brand management platforms or digital asset management systems . + Experience supporting brand audits and reporting on adherence metrics. + ... understanding of brand standards, tone of voice, and visual identity systems . **Additional Information** To ensure Home or Hybrid Home/Office employees' ability… more
- Humana (Tallahassee, FL)
- …or financial risk that arises from inadequate or failed processes, people, systems , or external events. Maintain a balance between risk mitigation and efficiency. ... Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data programming applications (ie SQL, Python) +… more
- Humana (Tallahassee, FL)
- …Lead large-scale product efforts focused on improving claims processing and related systems , ensuring these efforts support Humana's strategic goals. + Serve as Epic ... provider networks and external partners impacted by changes in claims adjudication systems **Use your skills to make an impact** **Required Qualifications** +… more
- Humana (Tallahassee, FL)
- …or lead architect. + Demonstrated expertise designing large-scale, cloud-native, distributed systems . + Strong hands-on experience with Node.js and/or Python, API ... used across teams. + Scalable, explainable, and reliable decisioning and activation systems in production. + Strong alignment across domain teams with minimal… more
- Humana (Tallahassee, FL)
- …architecture. May work with stakeholders across organization to evaluate cloud systems and identify appropriate solutions. Collaborates with product managers and ... or related field + 3-5 years of experience in systems analysis or application programming development + Must be...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- CenterWell (Tallahassee, FL)
- …and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance ... and grows positive, long-term relationships with physicians, clinicians and healthcare systems in order to support and improve financial and quality performance… more
- CenterWell (Daytona Beach, FL)
- …root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve ... in use of clinical technology platforms and resources, such as EMR systems (eg athenahealth, Epic, eClinicalWorks), voice documentation tools (eg Dragon, Abridge)… more
- CenterWell (Port Orange, FL)
- …Works in Electronic Medical Record (EMR) and Customer Relationship Management (CRM) systems . + Billing and Payments: Ensure patient accounts are updated correctly. ... care model experience + Knowledge of Medical Terminology + Experience with EMR Systems (Electronic Medical Records) + Must be passionate about contributing to an… more