- Centene Corporation (Tallahassee, FL)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- Boehringer Ingelheim (Miami, FL)
- …Objectives. + Acting as a scientific resource to Scientific Experts at payer accounts and integrated delivery networks when requested. Planning and Support: Develop ... a tactical customer-centric medical engagement plan for their geography in alignment with management and provide internal and external scientific support - as required. Specific aspects of the role include, but may not be limited to: + Proactively developing a… more
- BayCare Health System (Clearwater, FL)
- …posts payments, implements billing guideline changes and identifies trends at a payer specific level, applies federal and state guidelines to collection efforts, ... interprets and follows up on Explanation of Benefits, inventories supplies, reports and tracks equipment maintenance, performs other duties as assigned. **Specific Skills:** + Customer service skills + Administrative and clerical skills + Organizational skills… more
- Oracle (Tallahassee, FL)
- …with key healthcare accounts, including hospitals, healthcare networks, and payer organizations. Identify opportunities for new business and expand existing ... contracts by introducing Oracle's comprehensive CSS portfolio. + **Solution Development & Proposal:** Work closely with customers to understand their unique healthcare challenges and digital transformation goals. Develop comprehensive solution proposals that… more
- Centene Corporation (Spring Hill, FL)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- Humana (Tallahassee, FL)
- …and help us put health first** Humana is leading the way in payer -to-provider interoperability, driving better outcomes for providers and members. In this role, you ... will help providers improve performance by delivering meaningful scorecard metrics and sharing best practices. You will also support the adoption and optimization of interoperability products, contributing to Humana's strategic objectives and future… more
- Highmark Health (Tallahassee, FL)
- …combination of experience and education **Preferred** + 6 years of experience in payer , hospital system, or care delivery industry + Experience influencing change in ... complex organizational systems **SKILLS** + Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises + Strong quantitative and analytical skills + Demonstrated influencing, and teamwork skills +… more
- PruittHealth (Jacksonville, FL)
- …from these sources. 8. Basic knowledge of insurance companies and other payer sources. 9. Supports and participates in promotional activities, sales campaigns and ... other growth initiatives. **KNOWLEDGE, SKILLS, ABILITIES:** * Demonstrates principles of the sales process in a healthcare environment. * Able to manage a territory, conduct sales calls and presentations, and generate referrals by building long term business… more
- PruittHealth (Jacksonville, FL)
- …settings. 3. Strong understanding of Medicare, Medicaid, and other third-party payer requirements related to admissions and reimbursement. 4. Excellent communication ... and interpersonal skills, with the ability to build rapport with diverse stakeholders. 5. Proven leadership ability, including experience managing teams and driving results. 6. Detail-oriented with strong organizational and problem-solving skills. 7. Ability… more
- Centene Corporation (West Palm Beach, FL)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
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