- Sedgwick (Jacksonville, FL)
- …of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth ... knowledge of claims management, managed care and/or absence management processes and procedures + Excellent oral and written communication, including… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …tables for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care , and other third-party payors + Hiring and training staff. + ... or management experience _preferred_ + Knowledge of Florida Medicaid, Florida Managed Care Plans, and third-party payer systems + Familiarity with regulatory and… more
- Highmark Health (Tallahassee, FL)
- …Committee and Allied Health Professional Subcommittee agendas in order to comply with Managed Care requirements. (5%) + Performs other duties as assigned or ... credentialing and privileging, medical education, hospital environment, health insurance or managed care + 1 year in customer service + Certified Provider… more
- Highmark Health (Tallahassee, FL)
- …Review + 3 years of experience in Account Support + 1 year of experience in Managed Care Support + 1 year of experience in Consulting **SKILLS** + In-depth ... bachelor's degree. **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred** + Master's degree… more
- National Health Transport (Miami, FL)
- …mechanisms + Interact with various healthcare facilities, dispatch centers, insurance agencies and managed care organizations + Act as a customer liaison with ... marketing + Research and answer customer inquiries + Obtain insurance or managed care authorizations + Communicate and document service delays + Actively work… more
- AdventHealth (Maitland, FL)
- …requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting team, ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- Norstella (Tallahassee, FL)
- …professional experience in data research, market research, biotech, pharmaceuticals, or managed care industry + Superior analytical, quantitative, and conceptual ... work effectively as part of a team + Knowledge of the pharmaceutical and managed care industries - 1-2 years experience preferred + Strong skills with MS Office… more
- Molina Healthcare (Miami, FL)
- …equivalent combination of education and experience **Required Experience** * 5-7 years managed care experience, including min. 2 years of supervisory experience ... N/A **Preferred Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT; SQL experience * Crystal Reports for data… more
- Molina Healthcare (FL)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports for data… more
- University of Florida (Jacksonville, FL)
- …Assist in marketing the Orthopaedic Program to community physicians and managed care organizations. Participate In monthly division meetings, administrative ... responsibilities: Provide and maintain a high level of quality in-patient intermediate care services in all aspects of Orthopaedics. Provide clinical teaching of… more
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