- Humana (Tallahassee, FL)
- …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our ... our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer… more
- BayCare Health System (FL)
- …of 16 community-based hospitals, a long-term acute care facility, home health services , outpatient centers and thousands of physicians. With the support of more ... Team Member who is passionate about providing outstanding customer service to our community. We are looking for an...vary) + **Days:** Monday - Friday The Credentialing and Provider Enrollment Specialist Senior will work in a remote… more
- Elevance Health (Tampa, FL)
- …highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality ... of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative...strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via… more
- Cisco (Miami, FL)
- …**Meet the Team** In this role you will work as part of the Americas Cloud Service Provider (CSP) Route-To-Market (RTM) team to expand the value of our AWS ... work together across the physical and digital worlds. These solutions provide customers with unparalleled security, visibility, and insights across the entire… more
- AmeriHealth Caritas (Miami, FL)
- …+ A high school diploma/GED is required. + 1 to 3 years of experience in a Provider Services position working with providers. + 3 to 5 years of experience in the ... providers. In this role, you'll build and maintain strong partnerships, conduct provider orientations, resolve issues, and ensure compliance with state and federal… more
- Centene Corporation (Tallahassee, FL)
- …network reporting and directories as well as claims payment resolution as it relates to provider set up. + Provide support to the external provider ... experience preferred. Three years of experience in managed care environment, medical provider office, customer service within a healthcare organization, and… more
- ChenMed (Clearwater, FL)
- …responsible for the establishment of a Coordinated Provider List (CPL) to provide specialty care services to our patients within specific geographic regions. ... of a Coordinated Provider List (CPL) to provide specialty care services to our patients...partners in the CPL. + Identifies areas to improve provider service levels and quality. Leads a… more
- Molina Healthcare (St. Petersburg, FL)
- …At least 1 year of experience in health care, preferably in a customer/ provider services setting, or equivalent combination of relevant education and experience. ... JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical … more
- Humana (Tallahassee, FL)
- …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our ... part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other … more
- Molina Healthcare (Jacksonville, FL)
- …reports in support of Network Management and Operations areas of responsibility (eg, Provider Services / Provider Inquiry Research & Resolution, Provider ... **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate...the accurate and timely validation and maintenance of critical provider information on all enrollment and provider … more