- TEKsystems (Tampa, FL)
- Description The Provider Customer Service Associate is a key resource for provider inquiries, serving as the first point of contact and ensuring timely, ... thorough documentation, compliance adherence, and proactive follow-up to guarantee provider satisfaction. Additionally, this position supports leadership by helping… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...compliance with all relevant federal, state, and local regulations. Provider Services staff are the primary point of contact… more
- AmeriHealth Caritas (Miami, FL)
- …providers. In this role, you'll build and maintain strong partnerships, conduct provider orientations, resolve issues, and ensure compliance with state and federal ... access requirements. You'll monitor provider performance using data and metrics, support credentialing processes, and help drive improvements in service delivery.… more
- Datavant (Tallahassee, FL)
- …**What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart retrieval and HCC (Hierarchical ... This role will be responsible for driving revenue growth, building strong provider relationships, and working cross-functionally with internal teams to design and… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business ... and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to evolve and… more
- Ascension Health (Pensacola, FL)
- **Details** + **Department:** Multi Provider + **Schedule:** Full time days, Monday - Friday + **Facility:** Ascension Sacred Heart Medical Group - Nine Mile Rd + ... and treatment of patients under the direction of a provider (Physician or Advanced Practice Provider ). + Assist with treatments ordered by provider … more
- CenterWell (Orlando, FL)
- …to join our team as a Clinical Coding Education Facilitation Lead - Provider Coding Curriculums. In this role, you'll blend your clinical expertise-especially in ... a value-based care environment. **Key Responsibilities:** + Design and develop provider education programs focused on clinical documentation, risk adjustment, and… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
- Sharecare (Tallahassee, FL)
- …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic exchange, delivery ... to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with...getting reviewed prior to release 100% of the time. Provider Solutions is looking for a strong, dynamic and… more
- Elevance Health (Tampa, FL)
- …commuting distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard… more
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