- GE HealthCare (Miami, FL)
- …**Nice-to-haves** + Previous healthcare ultrasound sales experience and selling to managed care /hospital organizations preferred. We will not sponsor individuals ... inside the human body. Our mission is to change the standard of care in surgical interventions with our real-time visual guidance devices, giving Surgeons the… more
- Molina Healthcare (Miami, FL)
- …research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's ... Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 4 years customer service, claims, provider and investigation/research experience. LTSS claims experience **PHYSICAL DEMANDS:** Working environment is generally favorable and… more
- Humana (Tallahassee, FL)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Tallahassee, FL)
- …and professional growth **Preferred Qualifications** + Healthcare industry experience, preferably in the managed care or provider sector + MBA, MA/MS, PhD, or ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Tallahassee, FL)
- …roles. + Deep understanding of compliance, regulatory requirements, and quality metrics in managed care . + Strong analytical and communication skills, with the ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Tallahassee, FL)
- …skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Tallahassee, FL)
- …and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Elevance Health (FL)
- …interacting and assisting individuals throughout the NY State's health insurance programs; (Medicaid Managed Care , Child Health Plus, and the Essential Plan) is ... is responsible for providing education to potential members on the Affordable Care Act and the marketplace and facilitating new enrollments. **How you will… more
- Intermountain Health (Tallahassee, FL)
- …an entire market. Ensures enrollment is completed timely and accurately. Follows-up with managed care organizations and government payers to ensure timely and ... position is listed below. Actual hourly rate dependent upon experience. $21.84 - $33.23 We care about your well-being - mind, body, and spirit - which is why we… more
- AdventHealth (Tampa, FL)
- …to management. Maintains knowledge of third-party payor reimbursement guidelines and managed care contracts. Responsible for receiving and addressing accounts ... AdventHealth Division AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida,… more