- Humana (Tallahassee, FL)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
- Humana (Tallahassee, FL)
- …* Self-Sufficient - Capable of navigating ambiguity and delivering high- quality outcomes independently. * Consultative - Relationship builders who offer ... and operational teams to develop value-added benefits and services. + Lead benefit filing processes with regulatory agencies, ensuring timely and compliant… more
- Northrop Grumman (Melbourne, FL)
- …Follows and ensures standards are met. + Support the product team lead **Basic Qualifications:** + **Engineer DevOps:** Bachelor's Degree in Science, Technology, ... Experience with CI/CD best practices, automated builds and tests, quality gates, software quality , and CI tools,...and CI tools, ie, Jenkins. + Familiarity with security coding standard best practices, static and dynamic scanning tools,… more
- Humana (Tallahassee, FL)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
- SitusAMC (Tallahassee, FL)
- …execution of fundings, margin calls, servicing updates and loan settlements + Lead the process of providing direct operational support to external clients and ... or equivalent from four-year College or technical school or equivalent combination of education and experience + Entry level professional with 0-2 years of industry… more
- Elevance Health (Miami, FL)
- …in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services. **Location:** This ... and evaluates detailed business and technical requirements. + Mentors others on coding standards and performs code reviews. **Minimum Requirements:** + Requires an… more
- Molina Healthcare (FL)
- …develop recommendations to improve trends, communicate recommendations to management + Lead projects to completion by contributing to ad-hoc data analyses, ... and their impact on Molina Healthcare **Job Qualifications** **Required Education :** Bachelor's Degree in Mathematics, Economics, Computer Science, Healthcare… more
- Amgen (North Miami, FL)
- …communicate payer changes to key stakeholders + Offer office education during the access process, including formulary coverage/utilization management criteria, ... + Proven experience with hubs and in-depth knowledge of issues related to billing, coding , and appeals across physician types + Strong collaboration and ability to … more
- Kratos Defense & Security Solutions, Inc. (Orlando, FL)
- …for a Software Engineer 3 with the following responsibilities: + Lead efforts for Architecture refinement, technology insertion, as well as Creating/Managing ... adheres to relevant industry standards (eg, MISRA C/C++, or other applicable coding standards), and best practices for real-time software + Proficient with… more
- Cardinal Health (Tallahassee, FL)
- …accounts, and ensure compliance with payer and regulatory requirements. **Responsibilities:** + Lead and manage the daily operations of the insurance follow-up team, ... ensuring productivity and quality standards are met. + Monitor aging reports and...evaluations for AR follow-up staff. + Coordinate with billing, coding , and other departments to address claim issues and… more