- Actalent (Jacksonville, FL)
- …changing priorities and hybrid schedules. + InterQual experience. + Certified Case Manager . + Familiarity with Medicaid /Medicare regulations. + Experience with ... Actalent is Hiring a Team of Remote Nurses // Case Management / Must be...Nurse in FL!! Job Description The OB RN Case Manager will coordinate care for maternal and child health… more
- CenterWell (Tallahassee, FL)
- …community and help us put health first** A **Director of Authorizations & Eligibility ** is a senior revenue cycle leader responsible for the strategic oversight, ... operational execution, and continuous improvement of all authorization, insurance eligibility re-verification and payer maintenance for a large, complex Home Health… more
- Cognizant (Tallahassee, FL)
- **Product Owner Health Sciences, Consulting Manager ** **About the Role:** As a Product Owner for Sales & Enrollment Platforms, you will make an impact by leading the ... features. * Drive improvements in digital quoting, application intake, eligibility verification, and member onboarding for individual, group, and… more
- Cognizant (Tallahassee, FL)
- **Health Payer Business Analyst, Senior Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of… more
- Humana (Miramar, FL)
- …information from referring entity. Perform verification of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching ... of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare/ Medicaid criteria and Health Plan policies to ensure the referral meets all… more
- R1 RCM (St. Augustine, FL)
- …to meet their financial obligations. *Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in ... completing assistance program applications and determine eligibility and coverage. *Provide assistance to uninsured patients and families in completing and filing … more