- CVS Health (Tallahassee, FL)
- …for Medicaid programs (STAR, CHIP, STAR Kids). Additional responsibilities include provider education, committee coordination, and strategic reporting to align local ... and accreditation requirements. + Apply clinical criteria and policies to member/ provider claims and coordinate clinical resolutions with MD support. **Performance… more
- Humana (Tallahassee, FL)
- …PhD, or graduate degree in a management field + Prior healthcare industry experience , preferably in the managed care or provider sector **Reporting ... businesses. Humana is seeking a team member, with prior management consulting experience or professional experience leveraging core consulting skills, to support… more
- TEKsystems (St. Petersburg, FL)
- …Under limited supervision uses specialized knowledge and skills obtained through experience , specialized training or certification to facilitate the creation and ... implementation of systems needed to provide new offices, satellite offices and financial advisors (FAs) with a successful transition to the bank and are associates.… more
- Cognizant (Tampa, FL)
- …as developers and analysts. **Products include:** + Clinical CareAdvance and CareAdvance Provider + EngageMember + EngageProvider + Facets + NetWorX Modeler + ... Java or .NET, Python, SQL + Internship or academic experience using cloud services - such as Azure, AWS...Due to the nature of this position Cognizant cannot provide sponsorship for US work authorization (including participation in… more
- US Tech Solutions (Hialeah, FL)
- **Position Summary:** + Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and ... choices + Helps member actively and knowledgeably participate with their provider in healthcare decision-making + Monitoring, Evaluation and Documentation of Care:… more
- American Express Global Business Travel (Tallahassee, FL)
- …find us in almost every other department at GBT! We're excited for you to experience our values (People, Passion, and Progress) in action, and look forward to your ... (GDSs) + Ensure compliance to customers' agreed travel policy, service provider policies, and regulatory requirements + Use positive telephone service techniques… more
- American Express Global Business Travel (Tallahassee, FL)
- …find us in almost every other department at GBT! We're excited for you to experience our values (People, Passion, and Progress) in action, and look forward to your ... required + Ensure compliance to customers' agreed travel policy, service provider policies, and regulatory requirements + Use positive telephone service techniques… more
- US Tech Solutions (Tallahassee, FL)
- **Job Summary:** + Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and ... channels + Helps member actively and knowledgeably participate with their provider in healthcare decision-making + Monitoring, Evaluation and Documentation of Care:… more
- RELX INC (Boca Raton, FL)
- …issues and facilitate their resolution. + Participate in project meetings to provide updates and deliverables. + Track audit and assessment follow-up and remediation ... Computer Science, or Legal Studies + IT or Security experience (such as development, QA, system administration) preferred +...EEO Know Your Rights . RELX is a global provider of information-based analytics and decision tools for professional… more
- Cognizant (Sarasota, FL)
- Cognizant (NASDAQ: CTSH) is a leading provider of information technology, consulting, and business process outsourcing services, dedicated to helping the world's ... + **Job Summary** + Over 12- 15 years of experience in Duck Creek implementation and solution design covering...clients + Create Duck Creek config + **Responsibilities** + Experience in commercial and personal line implementation including DCT… more