- Humana (Tallahassee, FL)
- …and executing the risk adjustment strategy for each provider groups. + Analyzes data and reporting and provides educational sessions with providers aimed at ... make an impact** **Required Qualifications** + AAPC CPC (Certified Professional Coder) Certification + 2 or more years of...knowledge of MS Word, Excel and PowerPoint + Analyzing Data to drive process improvement + Experience with public… more
- CVS Health (Tallahassee, FL)
- …Load Tracking Database audits + Support audits out of QNXT and PRMS to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as ... strategic thinking + Able to drive decisions based on data analysis + May be asked to support other...**Education** Bachelor's degree preferred / specialized training / relevant professional qualifications **Pay Range** The typical pay range for… more
- Cleveland Clinic (Weston, FL)
- …guidelines, federal, state and local laws and regulations. + Facilitate professional development and provide coaching to accreditation regulatory team members. + ... quality of care/clinical inquiries from regulatory agencies. + Ensure accreditation rounding data is trended and made available for review. + Ensure coordination of… more
- Cardinal Health (Tallahassee, FL)
- …investigations to resolve ethics and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director, this position supervises and manages ... compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This position will… more
- Lundbeck (Orlando, FL)
- …fully integrated account plans + Strong analytical background, and experience using sales data reporting tools to identify trends + Experience in product ... Palm Bay, and Melbourne. **SUMMARY:** Are you a results-driven biopharmaceutical sales professional looking to be part of an organization that values being curious,… more
- Molina Healthcare (St. Petersburg, FL)
- …+ Prior professional experience utilizing Microsoft Excel (eg, performing basic data analysis in excel and utilizing pivot tables and various functions such as ... troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, including hospitals… more
- MyFlorida (Fort Lauderdale, FL)
- …This position is responsible for spending the majority of time supervising professional employees and providing technical assistance and analysis of the Provider ... process. Ensures that deficiencies identified by the QIO, untimely incident reporting , WSC ethical violations, and provider complaints that are remediated within… more
- J&J Family of Companies (Miami, FL)
- …Sales **Job Sub** **Function:** Sales - Immunology (Commission) **Job Category:** Professional **All Job Posting Locations:** Ft. Lauderdale, Florida, United States, ... including reconstitution, admixture, administration, monitoring, and adverse event management and reporting . + Serve as a resource to territory's accounts and JJIM… more
- Humana (Tallahassee, FL)
- …address gaps to targeted metrics. Leverages market level projections and experience data tools to research root cause and capture insights. Researches and ... relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …in Florida Safe Families Network (FSFN). Additionally, they will maintain post adoption data for reporting purposes, to identify gaps in services, for resource ... meet client needs. Care Planning Resources - Essential Function: Access 3rd party, Medicaid and community resources and ensures inclusion in care planning in order… more