- CenterWell (Jacksonville, FL)
- …and actively participating in monthly leadership meetings. + Deeply understand, support , and improve primary care clinician performance, through understanding of ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally… more
- CVS Health (Tallahassee, FL)
- …day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence… more
- Evolent (Tallahassee, FL)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... management, and clinical staff to address complex cases and support decision-making. + Act as a key resource for...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- ChenMed (Miami, FL)
- …tasks. Assists coordinators with complicated referrals. + Provides referral consulting support to assigned centers. Acts as referrals liaison for Center Managers. ... is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate for the geography and escalates accordingly when… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry ... Authorization Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
- AdventHealth (Altamonte Springs, FL)
- …Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... and quality physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and… more
- Banner Health (FL)
- …have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding ... nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and/or revisions. CORE FUNCTIONS 1.… more
- Cardinal Health (Tallahassee, FL)
- …understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors ... skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will… more
- AdventHealth (Oviedo, FL)
- …Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... of the home care patients and families. Optimizes schedule daily to support productivity, efficiency and maintain best practice visit utilization. + Performs an… more
- ChenMed (Jacksonville, FL)
- …. 401K - 5.5% match . CME $3,500 **Practice Profile** . Dedicated Care and support team . Inhouse Consulting Specialist : Cardiology, Podiatry and more . Holistic ... kindness and joy? Do you want a company to support you in everything you do? ChenMed is different...caregivers transforming the health and lives of seniors on Medicare Advantage. Through our Value Based Care approach, you… more