- Centene Corporation (Tallahassee, FL)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....+ Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess… more
- Community Health Systems (Naples, FL)
- …and quality care **What We Offer** + Competitive Compensation + Comprehensive Benefits: Medical , Dental, Vision, Life Insurance + Generous PTO & Extended Illness ... inappropriate care. + Serve as the primary liaison with CHS Corporate for insurance and legal program coordination. **Patient Safety & Incident Oversight** + Lead… more
- Elevance Health (Tampa, FL)
- …+ Strong knowledge of medical terminology, codes, and health insurance policies. + Proficient in using claims processing software. Please be advised ... process improvement, project coordination in a high-volume managed care operation ( claims , customer service, enrollment and billing); or any combination of education… more
- Elevance Health (Naples, FL)
- …+ Coordinates prompt claims resolution through direct contact with providers, claims , pricing and medical management department. + Identifies and reports on ... + Coordinates communication process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. + Conducts seminars to… more
- NTT America, Inc. (Tallahassee, FL)
- …Manager and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and ... medical , dental, and vision benefits, life and supplemental insurance , short-term and long-term disability, flexible spending account, and 401k retirement… more
- CVS Health (Tallahassee, FL)
- …detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role is ideal for a data professional ... investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate...in data analytics or data science, preferably in healthcare, health insurance , or Medicaid programs + Ability… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more