- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** Provides clinical liaison support for delegation oversight activities in conjunction with enterprise partners and ... provider agreement, National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), policies and procedures, quick reference… more
- Humana (Tampa, FL)
- …needed. Follows established guidelines/procedures. Additional Duties: This SW will primarily support the Utilization Management Team. SW will work closely with ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
- Intermountain Health (Tallahassee, FL)
- …and ensure that performance levels are met, handle complex items, and support the OSP Director on strategic and operational projects. Key responsibilities include ... financial analyses on trials, provide budgeting guidance and approvals based on Medicare coverage analysis results. Create financial compliance tools for care sites,… more
- Aveanna Healthcare (West Palm Beach, FL)
- …care. + Staff Development:Conduct orientation, provide ongoing education, and support professional growth. + Operational Excellence:Manage daily operations, ensuring ... with the Clinical Manager to coordinate care plans, oversee compliance, and support families. + Organization:Plan, delegate, and manage responsibilities to ensure a… more
- CenterWell (Orlando, FL)
- …performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ... of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with medical terminology + Proficient with Microsoft… more
- Humana (Tallahassee, FL)
- …2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
- Humana (Tallahassee, FL)
- …Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
- CenterWell (Tallahassee, FL)
- …office. The Referral Coordinator performs basic administrative/clerical/operational/customer support /computational tasks. Typically works on routine and patterned ... hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with Microsoft Office applications including Microsoft… more
- Humana (Tallahassee, FL)
- …Evaluate, select, and manage data governance platforms and tools to support program goals. + Performance Measurement and Reporting: Establish key performance ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
- Humana (Tallahassee, FL)
- …intelligence and operational efficiency. + Oversee implementation, enhancements, and support for key platforms including Workday, ServiceNow, Phenom, Cornerstone, ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more