- Molina Healthcare (FL)
- …the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery ... health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- Elevance Health (Lake Mary, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Terumo Medical Corporation (Orlando, FL)
- …Date: Oct 1, 2025 Req ID: 5127 Location: Orlando, FL, US Company: Terumo Medical Corporation Department: TIS Sales - North Florida Terumo Medical Corporation ... (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous… more
- MyFlorida (Largo, FL)
- …semester). Education and employment history must be verifiable. Any credentials you claim (degrees, certifications, etc.) on your application must be attached to the ... with Health Information Systems. + Knowledge of and experience working with medical billing and Health Information Systems. + Knowledge of State of Florida… more
- Elevance Health (FL)
- **Manager, Medical Director - Transformation Initiatives** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... granted as required by law. Alternate locations may be considered. The **Manager, Medical Director** will serve as a clinical and strategic advisor to enterprise… more
- HUB International (Fort Myers, FL)
- …organization. We offer: + Competitive salaries and benefits offerings + Medical /dental/vision insurance and voluntary insurance options + Health Savings Account ... to communicate with other team members and assist advisor to ensure timely follow -up on group and individual renewal dates. Regularly maintain and follow -up… more
- Walgreens (Destin, FL)
- …companies and medical providers and participates in 3rd-party audit. + Follow -up with medical providers' offices to clarify prescribed medications, dosages, ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- MyFlorida (Tallahassee, FL)
- 68064828 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Oct 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 862286 Agency: Agency for Health Care Administration Working Title: 68064828 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064828… more
- CVS Health (Miami, FL)
- …subject matter expert and trusted advisor. + **Issue Escalation & Follow -up:** Collaborate cross-functionally with internal teams (Eligibility, Claims , Clinical) ... in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related… more
- ZOLL Medical Corporation (Miami, FL)
- …geography is receiving the appropriate level of service with regard to ZOLL's medical devices with minimal disruption.Manage the follow -up process by working ... innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and… more