- Iteris, Inc. (Tampa, FL)
- …will be responsible for monitoring and responding to incidents impacting the arterial network , provide day-to-day monitoring of the traffic signal system, track ... system operations reports, monitoring of CCTV and DMS systems for the arterial street network , etc. This position is based in Tampa at the FDOT District 7 Traffic… more
- Humana (Tallahassee, FL)
- …or data requires an in-depth evaluation of variable factors. The Provider Reconciliation Program (PRP) is committed to delivering comprehensive and accurate ... experience + Ability to interpret complex data sets and provide actionable insights + Strong knowledge of Microsoft Office...written and oral forms, and is able to facilitate provider meetings with confidence, enthusiasm, and a teaching mindset… more
- Zelis (St. Petersburg, FL)
- …and enhancing fraud mitigation frameworks to protect the integrity of our payments and provider network . This role will manage a team that investigate suspicious ... shape who you are. Position Overview The Fraud Manager, Payee Identification and Network Security will report to the Sr. Director that leads Zelis Payments' Fraud… more
- Molina Healthcare (St. Petersburg, FL)
- …recommendations that support short- and long-term business goals. + Partners with Network to communicate recovery projects so that provider relations can ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding… more
- Molina Healthcare (Miami, FL)
- …recommendations that support short- and long-term business goals. + Partners with Network to communicate recovery projects so that provider relations can ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding… more
- CVS Health (Tallahassee, FL)
- …(grievance) issues. * Actively participate in or lead quality and/or member/ provider service-focused committees. * Provide clinical leadership in preparation ... and collaborate with medical / physical professional associates, the local provider community, state regulatory agencies and advocacy groups to advance clinical… more
- Ascension Health (Port St. Joe, FL)
- …community practice with APP support + No call, M-F + Largest employed primary care network in NW FL **About Ascension Sacred Heart Gulf** As part of Ascension, the ... have grown and expanded, our commitment to the mission remains steadfast: to provide excellent health care to all people, with special attention to the poor… more
- Ascension Health (Pensacola, FL)
- …candidate to join an established practice and partner with Ascension to provide medical services to patients on the beautiful Gulf Coast! **Position Highlights:** ... expanded, our commitment to the mission remains steadfast: to provide excellent health care to all people, with special...hospital - and Sacred Heart Medical Group, the largest network of primary care and specialty physicians in Northwest… more
- Molina Healthcare (Tampa, FL)
- …recommendations that support short- and long-term business goals. + Partners with Network to communicate recovery projects so that provider relations can ... identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make… more
- Cardinal Health (Tallahassee, FL)
- …messaging through presentations, slide decks, emails etc. * Follow all Specialty Network requirements of the Provider Solutions, Customer Success, management, ... for attaining specific objectives defined by the EVP of Provider Solutions. In this role, the Manager will be...organization may also be assigned by the PPS EVP Provider Solutions. This is a position for a clinical… more