- Elevance Health (Miami, FL)
- …preferred. + Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big datasets is preferred. For candidates ... and methodologies; statistical analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data,… more
- CVS Health (Tallahassee, FL)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... At CVS Health , we're building a world of health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Elevance Health (Tampa, FL)
- …expertise, as well as single point of service support (eg, calls and claims ) to key client contacts (HR, Benefit Administrators, client key decision makers, etc.) ... the best service possible. + Answers client inquiries regarding health plan or service issues. + Responds to customer...or equivalent and a minimum of 5 years related claims /customer service experience; or any combination of education and… more
- Elevance Health (Tampa, FL)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- Elevance Health (Altamonte Springs, FL)
- …The **Credit and Collection Specialist** is responsible for collection activities related health insurance claims and patient balances. **How You Will Make ... group for the purpose of collecting past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed debt.… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications.… more
- AdventHealth (Maitland, FL)
- …as it relates to reimbursement methodologies + Applies significant understanding of medical coding systems affecting the adjudication of claims to include ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Are you an architect of interconnected data, driven by the belief that relationships hold the key ... to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as a vast, dynamic network of patient journeys, disease… more
- Centene Corporation (Tallahassee, FL)
- …everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization ... implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial,… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …billing. + Proficient in all Microsoft Office applications as well as Electronic Health Record software. Excel skills using pivot tables, charts, graphs and tables ... for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care, and other third-party payors + Hiring and training staff. + Managing… more