- Molina Healthcare (St. Petersburg, FL)
- …a clerical role in a claims, and/or customer service setting - preferably in managed care , or equivalent combination of relevant education and experience. * ... Qualifications** * Claims recovery experience. * Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in… more
- Ford Motor Company (Tallahassee, FL)
- …bring to life our Enterprise Data Council (EDC) strategy, ensuring data is managed and leveraged as a strategic asset across the organization. Concurrently, you will ... and all business units regarding how data should be managed and utilized as a strategic asset. 5. Ensure...medical, dental, and prescription drug coverage + Flexible family care , parental leave, new parent ramp-up programs, subsidized back-up… more
- Molina Healthcare (Jacksonville, FL)
- …2 years experience in customer service, consumer advocacy, and/or health care systems. Experience conducting intake, interviews, and/or research of consumer or ... members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare. **PREFERRED EDUCATION:** Associate's or Bachelor's… more
- Mass Markets (FL)
- …BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Healthfirst (FL)
- …+ **Knowledge of Trucare, Salesforce, HHAXchange, DocuSign Epaces, Sharepoint** + **Experience in managed care or other area of the healthcare industry working ... providers regarding authorizations initiation//updates, referrals, visits, tests, and faxed care plans** + **Provide education to members and providers regarding… more
- Compass Group, North America (Orlando, FL)
- …regulatory compliance and drives 98% equipment uptime-so clinicians can focus on care , not equipment issues. We support nearly 4,500 healthcare sites nationwide-from ... large, campus-based acute care hospitals to system-integrated outpatient clinics. With more than...outpatient clinics. With more than 1.15 million medical devices managed , we provide the clarity and consistency needed in… 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
- Centene Corporation (Tallahassee, FL)
- …+ **Creating member communications or marketing materials, ideally for a Managed Care Organization or Medicare/Medicaid provider** + **Medicare/Medicaid ... experience** + **Familiarity with CMS/Regulatory Medicare Guidelines** + **Strong proficiency in Excel, Word, and SharePoint** + **Skilled in MS Teams and Adobe Acrobat Pro (editing/review)** + **Experience collaborating cross-functionally to develop Medicare… more
- Molina Healthcare (Orlando, FL)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. + Strong… more
- Boehringer Ingelheim (Orlando, FL)
- …depending upon geography. + Knowledge across portfolio is preferred. + Strong understanding of managed care and its impact on the industry. + Excellent judgment ... our employees. The System Account Executive (SAE) is a specialist role responsible for pull-through of the account plan...vehicle or authorized rental vehicle. + Strong understanding of managed care environment and intricacies of health… more