- LogixHealth (Dania Beach, FL)
- Purpose The Manager will supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. This ... of the staff. Duties and Responsibilities + Oversee all employees in the provider enrollment department + Research and resolve any issues that arise + Monitor… 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
- CVS Health (Tallahassee, FL)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... platforms to assist providers with payment questions. + Educate provider with related information to answer the unasked questions,...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
- CVS Health (Tallahassee, FL)
- …all with heart, each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider ... with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations.… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in… more
- CVS Health (Tallahassee, FL)
- …Summary** + Claims analysis related to disputes, legal matters, state complaints, provider inquiries, and internal team inquires. In order to determine if there ... that may affect Utilization Management, Enrollment, Claims, Configuration, Network, Contracting and/or Provider Data. + If any issues are identified you will submit… more
- Elevance Health (Miami, FL)
- ** Provider Payment Appeal Analyst I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... - Friday, an 8 hour shift between 8 am - 9 pm EST The ** Provider Payment Appeal Analyst I** is responsible for supporting the Payment Dispute process across all… more
- Humana (Miami, FL)
- …seeking a talented healthcare/health insurance leader for the role of Director, Provider Contracting. The Director will be responsible for all contracting and ... with physicians and other healthcare providers + Manage the provider relationship, ensuring that best-in-class servicing is delivered, including onboarding,… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements. The Provider Contracting...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Humana (Tallahassee, FL)
- …Contract Requires US Citizenship for this Position. Overview: Join Humana Military's Provider Data Solutions team to support the TRICARE T5 contract and deliver ... work within a caring, collaborative environment. Our team works with large-scale provider data and plays a key role in processing, preparation, dissemination, and… more