- ChenMed (Miami, FL)
- …Learning (ML) driven solutions based on a rich stream of clinical, claims, payer , and behavioral data. The Senior Data Scientist operates in a highly collaborative ... and techniques. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Keen business acumen and acuity… more
- ChenMed (Hollywood, FL)
- …+ Prescribes medication and treatment in accordance with patient condition, payer coverage/guidelines and industry standards. + Reviews PCP requests for external ... + Performs other related duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Thorough knowledge of pharmacological… more
- Elevance Health (FL)
- …medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Elevance Health (Miami, FL)
- …provider networks, claims, finance, and operations strongly preferred. + Healthcare payer experience strongly preferred. + Cost of Care knowledge and experience ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Gentiva (Ocala, FL)
- …and coordinate the intake and admission process, ensuring all legal, clinical, and payer requirements are met + Serve as a liaison between referral sources and ... hospice experience required. + Prior experience as a discharge planner, case manager , or educator preferred. **Licenses and Certifications** + Current RN license to… more
- Elevance Health (Tampa, FL)
- …knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Cordis (Miami Lakes, FL)
- …safe and effective usage and proven sales strategies. Reporting to theSr. Manager , Sales Education, this role directly impacts the US sales team's effectiveness ... healthcare economics and the US healthcare market, including reimbursement processes, payer systems, and value-based care models, to effectively align sales training… more
- Elevance Health (Lake Mary, FL)
- …knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- PruittHealth (Pensacola, FL)
- …targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective ... from these sources. 8. Basic knowledge of insurance companies and other payer sources. 9. Supports and participates in promotional activities, sales campaigns and… more
- Boehringer Ingelheim (Orlando, FL)
- …specialist role responsible for pull-through of the account plan (developed by the Account Manager ) at the Health System's various sites of care and with the Health ... stakeholders. Engages the appropriate key stakeholders in discussions on the payer environment, copays, and formulary access. Supports products on Payor formularies.… more