- University of Miami (Miami, FL)
- …serves as the subject matter expert to her team, providing support and education . + Adhere and perform timely prospective reviews for services requiring prior ... or guidelines + Serves as a resource to provide education regarding payer policies and facilitates coordination of alternative...of coverage + Facilitates communication of denials and or Peer to Peer requests between payers and… more
- Molina Healthcare (Tampa, FL)
- …objectives and processes associated with the enterprise. + Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been ... on configurations updates and initiatives. + Negotiates expected completion dates with Health Plans. + Writes complex ad-hoc reports + Creates complex MRDT and… more
- KBR (Hurlburt Field, FL)
- …Provide nutritional planning, counseling, and documentation that is guided by evidence-based peer reviewed literature. + Advise the chain of command on issues ... attendance at the necessary conferences or courses to complete continuing education units required to maintain professional certification. + Maintain 100% compliance… more
- AssistRx (Orlando, FL)
- …EOB faxes, and mail (emails, USMail) from pharmacies, patients, Sites of Care, Health Care Providers, copay vendors (PDMI, FHA and Merchant Card processors) and ... vendors, finance for manual claim reimbursement, Sites of Care and Health Care Providers. The Copay Support/Claims Processing Specialist will adjudication,… more
- University of Miami (Miami, FL)
- …. Lead Research Analyst The University of Health /UHealth department of SCCC has an exciting opportunity ... and documentation. + Prepares results for progress reports, presentations and peer -reviewed publications. + Serves as co-author on peer -reviewed manuscripts.… more
- Florida Atlantic University (Boca Raton, FL)
- …(research-intensive) university ranking by Carnegie Classification of Institutions of Higher Education . This fellowship is devoted to research, and the scholar will ... fellow will utilize community-based participatory research methods and population health science. The fellow will implement evidence-based interventions and/or… more
- University of Miami (Miami, FL)
- …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami Health System, "UHealth", Department of Pediatrics- ... include authorship of scientific monographs. + Advances expertise through continued education , training, and research. + Maintains current knowledge of relevant… more
- Molina Healthcare (St. Petersburg, FL)
- …including forecasts and makes recommendations based on relevant findings. Performs Health Plan strategic analysis and planning and coordinates across business units ... (Medicare, Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care data using Databricks and Spark SQL, Notebooks,… more
- University of Miami (Miami, FL)
- …study reports.5. Prepares results for progress reports, presentations, and peer -reviewed publications.6. Maintains and documents studies' databases.7. Consults with ... vary based on research projects and collaborations Department Specific Qualifications Education : + Master's degree (MS) in Statistics or Biostatistics (preferred).… more
- Target (Tallahassee, FL)
- …on position. These include labor markets and in some instances may include education , work experience and certifications. In addition to your pay, Target cares about ... your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life… more