- Elevance Health (Tampa, FL)
- **Investigator Senior** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office)._ _Alternate ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent… more
- Highmark Health (Tallahassee, FL)
- …of medically necessary health care services at the appropriate level of care, based on the benefits for the line of business, and in compliance with ... for services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical information, and decision timeframes.… more
- Travel + Leisure Co. (Destin, FL)
- **We Put the World on Vacation** Travel + Leisure Co. is the world's leading vacation ownership and travel membership company, with a dynamic and growing portfolio ... Our dedicated associates help the company achieve its mission to put the world on vacation. Innovation and growth keep our work interesting and fun. Every day is… more
- Sedgwick (Tallahassee, FL)
- …A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who ... by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …identification of new opportunities for drug management, safety programs, and medical /pharmacy cost savings + Make recommendations on utilization management ... Pharmacist may also be required to meet with prescribers on a one- on -one basis to promote cost-effective...Management Program. This includes weekly new drug reviews and coding to be submitted to the Pharmacy Benefit Manager,… more
- HCA Healthcare (The Villages, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on… more
- HCA Healthcare (Sarasota, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on… more
- HCA Healthcare (Sarasota, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on… more
- Cardinal Health (Tallahassee, FL)
- …Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical /Pharmacy billing and coding is preferred + Important to have a strong ... care so that patients can access, afford and remain on the therapy they need for a better quality...Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:**… more
- HCA Healthcare (Coral Springs, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on… more
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