- AdventHealth (Tampa, FL)
- …also serves as the subject matter expert, providing clinical expertise and business direction in support of medical management programs, promoting the delivery of ... high quality, patient focused and cost-effective medical care. **The value you'll bring to the team** **:** Provides clinical support/validation for both Utilization Management and Care Management teams Provides education and serves as a resource to Medical… more
- Cengage Group (Jacksonville, FL)
- …their dreams through education. **Our culture values inclusion, engagement, and discovery** Our business is driven by our strong culture, and we know that creating ... an inclusive workplace is absolutely essential to the success of our company and our learners, as well as our individual well-being. We recognize the value of diverse perspectives in everything we do, and strive to ensure employees of all levels and… more
- Molina Healthcare (Miami, FL)
- …environment, while also ensure stability and functionality requirements from business customers are met. **Knowledge/Skills/Abilities** * Supports the planning, ... configuration, and operation of Molina cloud infrastructure migration and services. * Works to configure and support workloads in the cloud, automates cloud infrastructure maintenance, and builds new operational monitoring capabilities. * Provides… more
- Sharecare (Tallahassee, FL)
- …**Qualifications:** + High school diploma/GED required (Associate degree in a business -related field preferred) + Excellent verbal and written communication skills + ... Experience in handling escalated research situations + 3 years of payment processing experience + Experience in mentoring, coaching and/or training. + Intermediate knowledge of Microsoft Outlook, MS Word, and MS Excel + Ability to function in a collaborative,… more
- Molina Healthcare (St. Petersburg, FL)
- …team building experience. * Experience developing performance measures that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data ... Validation experience. + Chart Collection audit experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** * Certified Professional in Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor… more
- Molina Healthcare (Tampa, FL)
- …Association** Valid State Driver's License **Preferred Education** Bachelor's Degree in Business or Health Care related field. **Preferred Experience** + 5 years ... managed care experience. + 2 years' experience completing delegation oversight assessments/audits. + Quality management/regulatory experience with increasing responsibility. To all current Molina employees: If you are interested in applying for this position,… more
- Anywhere Real Estate (Jacksonville, FL)
- …career included.** What differentiates us is our scale, expertise, network, and unique business model that positions us as a trusted advisor throughout every stage ... of the real estate transaction. **We pursue talent** - strategic thinkers who are eager to always find a better way, relentlessly focus on talent, obsess about growth, and achieve exceptional results. **We value our people-first culture,** which thrives on… more
- Guidehouse (Tampa, FL)
- …experience and training, security clearances, licensure and certifications, and other business and organizational needs. **What We Offer** **:** Guidehouse offers a ... comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and… more
- University of Miami (Medley, FL)
- …. The University of Miami/UHealth Central Business Office has an exciting opportunity for ... a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are completed in a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service… more
- Sharecare (Tallahassee, FL)
- …and access such information only on a need to know basis for business purposes + Comply with all regulations regarding corporate integrity and security obligations ... + Report unethical, fraudulent or unlawful behavior or activity + Maintain current and yearly HIPAA certification Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment… more