- Parexel (Tallahassee, FL)
- …**Access and HTA** , clinical research and development methods, and international payer evidence requirements. + Skilled in research design and statistical methods, ... such as **Generalized Linear Models, Survival Analysis, Network Meta-Analysis, and Bayesian statistics** . + Proficient in **R** and **GitLab** (experience with SAS, Python, WinBUGS, JAGS, or other relevant statistical software is a plus). + Strong strategic,… more
- Oracle (Tallahassee, FL)
- …all levels of the organization. 8. Strong knowledge of federal, state, and payer -specific regulations and policies. 9. Ability to work in a fast-paced environment ... and manage multiple priorities. **Responsibilities** Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies… more
- Datavant (Tallahassee, FL)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- Select Medical (Fort Walton Beach, FL)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED + 1 Year of Medical Office Experience **Preferred:** + Health care experience Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/349889/medical-receptionist… more
- HCA Healthcare (Atlantis, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …+ Strong understanding of the US & Global healthcare landscape, including payer and policy environments + Excellent communication, leadership, and project management ... skills + Strong understanding of pharmaceutical compliance and regulatory frameworks + Excellent communication and interpersonal skills, with the ability to influence cross-functional teams + Strong analytical and problem-solving skills to address complex… more
- Select Medical (St. Petersburg, FL)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED + 1 Year Front Desk Experience **Preferred:** + Insurance Verification Experience + Bilingual **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- HCA Healthcare (Plantation, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Molina Healthcare (Miami, FL)
- …provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, ... including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of claim system configurations, payment policies, and audit processes. + Exceptional analytical, problem-solving, and documentation skills. + Ability to translate complex business problems… more
- Sharecare (Tallahassee, FL)
- …Summary:** CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that ... connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure… more