- Centene Corporation (Tallahassee, FL)
- …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed care, Medicare or Medicaid.Pay… more
- Humana (Tallahassee, FL)
- … claims , and customer service). + Collaborate with each Insurance Operations function to identify, understand, and align Stars-related business strategies, ... + 8-9 + years of quality improvement, developing & advancing enterprise strategy, insurance operations experience, ie: claims , UM, CM, call center, enrollment,… more
- TEKsystems (Jacksonville, FL)
- …exchange and connectivity solutions. They operate one of the largest real-time health information networks in the United States, connecting healthcare providers and ... insurance payers. Their platform helps streamline administrative and clinical...streamline administrative and clinical workflows by enabling eligibility checks, claims processing, prior authorizations, and secure data sharing. These… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Proposal_ ) questionnaire responses, and plan consultation. This fully remote position will have the opportunity to work on… more
- Highmark Health (Tallahassee, FL)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- HCA Healthcare (Tampa, FL)
- …Provide format for obtaining third-party liability information for liens and workers compensation claims + Consolidate claims for insurance carriers in ... three years. **Benefits** Parallon offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Molina Healthcare (FL)
- …least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant ... in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. + Monitors regulatory sources to ensure all… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... limited to: The Radiologists at the Bay Pines VA Health Care System are involved in some form of...moonlighting Telework: Applicant's Note: This position is eligible for remote work and is exempted from return to office… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... restriction on moonlighting Telework: Applicant's Note: This position is eligible for remote work and is exempted from return to office requirements. Remote… more