- Molina Healthcare (St. Petersburg, FL)
- …with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/ IPA practice, capitation, HMO regulations, managed healthcare systems, quality ... improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE, CERTIFICATION,… more
- CenterWell (Orlando, FL)
- …range of people including physicians, office staff, hospital executives, medical groups, IPA 's, community organizations and other health plan staff + Knowledge of ... and experience working with Provider Communities + Experience with Electronic Medical Record (EMRs) or Health Information Management (HIMs) systems + Knowledge of Excel, Word and Power Point Presentations in a business setting + Bilingual in both English and… more
- CenterWell (Plantation, FL)
- …range of people including physicians, office staff, hospital executives, medical groups, IPA 's, community organizations and other health plan staff. * Job is ... considered patient facing and is part of Humana's Tuberculosis (TB) screening program. Candidates selected for this job will be required to be screened for TB. * Candidates selected for this job will be required to adhere to Humana's flu vaccine policy. *… more
- CenterWell (Tallahassee, FL)
- …+ A minimum of three years Medical Coding experience or similar (including IPA and Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + ... Ability to travel both locally and overnight. **Preferred Qualifications:** + Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint + Ability to communicate effectively and sensitively with clinicians and team… more
- HCA Healthcare (Tampa, FL)
- …coding requirements for major payers such as Medicare, Medicaid, HMO's, PPO's, IPA 's, employers, etc. + Demonstrate and share knowledge of medical terminology, ... International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for multiple specialty areas. + Provide relevant coding guidance for customers and other departments to resolve issues. + Provide subject matter expertise in the… more
- Centene Corporation (New Port Richey, FL)
- …management, or clinical operations. Project management experience at a medical group, IPA , or health plan setting. Proficient in HEDIS/Quality measures, cost and ... utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to… more
- CenterWell (Casselberry, FL)
- …range of people including physicians, office staff, hospital executives, medical groups, IPA 's, community organizations and other health plan staff + Knowledge of ... and experience working with Provider Communities + Experience with Electronic Medical Record (EMRs) or Health Information Management (HIMs) systems + Knowledge of Excel, Word and Power Point Presentations in a business setting + A high level of engagement and… more
- Centene Corporation (Orlando, FL)
- …management, or clinical operations. Project management experience at a medical group, IPA , or health plan setting. Proficient in HEDIS/Quality measures, cost and ... utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to… more
- University of Miami (Coral Gables, FL)
- …Coaching or related field. A thorough knowledge of the International Phonetic Alphabet ( IPA ) and Lyric Diction in English, Italian, German, and French is required. ... Prior experience teaching at the collegiate level is also preferred. A demonstrated record of exceptional teaching is required. To apply: Please apply online. Submit a Curriculum Vitae, with a cover letter to UM website: www.hr.miami.edu/careers. Review of… more
- Cardinal Health (Tallahassee, FL)
- …new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA , etc). Reporting to the Director of Managed Care, the Manager of Contracting ... is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. **Essential Functions:** + In collaboration… more