- Elevance Health (Tampa, FL)
- …recommendations for change based on judgment and experience. + May perform Part A provider enrollment responsibilities as needed. + Associates in this role are ... reviews on teaching, organ acquisition hospitals and other complex provider cost reports. **How you will make an impact:**...or any combination of education and experience, which would provide an equivalent background. + This position is part… more
- CRC Insurance Services, Inc. (Fort Lauderdale, FL)
- …and superior customer service for a defined scope of issues and post enrollment inquires. Our employees work a hybrid schedule so successful candidates must live ... of working from home. At CRC Benefits (formerly BenefitMall), an industry leading provider of benefits services, we believe that it takes great employees to build… more
- CVS Health (Tallahassee, FL)
- …industry. + Strong knowledge of healthcare payer operations (claims, eligibility, enrollment , prior authorization, provider networks). + Experience working in ... of digital solutions for our Meritain.com portal that improve member, provider , and payer experiences, as well as enhance internal stakeholder efficiencies.… more
- Molina Healthcare (Miami, FL)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment , Finance, Managed Care ... Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume transaction processing/call… more
- Highmark Health (Tallahassee, FL)
- …with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data + 3 years of project leadership in ... and quality of care received, and optimal member/patient and provider experiences with care delivery. The incumbent serves as...a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation… more
- MyFlorida (Jacksonville, FL)
- …quality services. + Work closely with families to develop relationships, set goals, and provide support and guidance as they navigate the system and work toward long ... service linkage and intervention. + Understand the stages of change and provide insight into behavioral changes connected to successful outcomes to promote safe… more
- Adams and Associates (Miami Gardens, FL)
- …OFF! The Residential Counselor works collaboratively with the Dorm Life team to provide students in the assigned dormitory with a safe, clean, and structured living ... judgment, and provides individualized case management to support student enrollment , retention, and program completion. The Residential Counselor partners closely… more
- Option Care Health (Pensacola, FL)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Option Care Health (Melbourne, FL)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Highmark Health (Tallahassee, FL)
- …Deep understanding of healthcare technology products especially in Clinical, Digital, Provider , Claims, Enrollment , Billing, Benefits, Products and Services. ... and ensuring meticulous attention to detail. + Pricing Strategy & Execution: Provide market guidance and input into competitive pricing strategies for our diverse… more