- Highmark Health (Tallahassee, FL)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... team is responsible for identifying those gaps, building requirements to drive the development of new capabilities, and tying them to Highmark's strategic capability roadmap. They will need to work effectively across teams to inform and influence change to… more
- BayCare Health System (Sarasota, FL)
- …clear concise referral provided to homecare division meeting all regulatory, payer , and safety requirements. + Completion of preadmission assessment and education ... to patient and caregiver of homecare services. + Coordination of Homecare and Pharmacy as well as communication with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to… 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
- AssistRx (Orlando, FL)
- …+ Experience working with pharmaceutical manufacturers and understanding of third-party payer systems (commercial, Medicare, Medicaid). Skills & Competencies: + . ... Strong leadership and team management abilities, with a track record of driving performance. + . Excellent communication and client relationship management skills. + . Thorough understanding of pharmaceutical copay structures - pharmacy and medical, including… more
- Kyndryl (Tallahassee, FL)
- …+ Healthcare industry experience is a strong plus, especially in payer /provider operations and care management workflows. **Preferred Qualifications: ** + 15+ ... years' experience in contact center sales, consulting, services, or transformation initiatives. + Previous experience in leading healthcare-focused journey redesign from eligibility verification to care management. + Align contact center transformation with… more
- CVS Health (Tallahassee, FL)
- …+ 3 to 5 years Industry experience in mental or behavioral health, payer , commercial, and Medicare + Proven ability to interact with, influence and collaborate ... with business leaders and producing managers at all levels + PMP certification + Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity **Education** + Bachelor's degree or equivalent professional work… more
- Owens & Minor (Orlando, FL)
- …+ Conduct continuing education programs as needed to on-site hospitals and payer case managers. + Deliver comprehensive follow-up information & patient reporting to ... referral sources after patient discharge. + Participates in the institution's quality assurance/performance improvement initiatives as requested. **Minimum Requirements:** + Bachelor's degree OR previous relevant job experience required. + **Minimum 3yrs of… more
- Evolent (Tallahassee, FL)
- …key performance indicators + Partner with Evolent Strategic Account teams and payer clients to align priorities and deliver high-quality provider network engagement, ... performance reporting, and present to health plans clients + Maintain detailed records of practice interactions, progress on transformation, initiatives, and market trends + Represent the organization at regional forums/clinical symposiums, conferences, and… more
- Molina Healthcare (St. Petersburg, FL)
- …acceptable. **REQUIRED EXPERIENCE:** + 7+ years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, ... Procurement, Project Management, or Account Management + Proficient with Microsoft Office Suite, databases, advanced spreadsheets, pivot tables, v-lookup and corporate email and collaboration solutions + Demonstrate strong written and verbal communication… more
- Select Medical (Lake Wales, 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 **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/336951/medical-receptionist… more