- Molina Healthcare (FL)
- … research , Microsoft Outlook and Word, and other software systems . * Experience with professional written and verbal communication. **Preferred Experience:** ... and request any missing information. * Updates credentialing software systems with required information. * Requests recredentialing applications from providers… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …served. Participates in special case management reviews in an effort to improve system responsiveness. Assists in staff development. Will also assist in areas of ... to and model principles and values of Agency and System of Care by being strength-based, solutionfocused, maintains highest...travel throughout the 4 counties for QA reviews. 5. Research Best Practice Models in Child Welfare:: This business… more
- Cleveland Clinic (Vero Beach, FL)
- …the unique needs of all Behavioral Health patients within the Cleveland Clinic System Emergency Departments and Hospitals. In this role, you will work to ensure ... centered outcomes and standards of care based on current research and evidence-based practice. + Participate in the clinical...during the application and hiring process. Cleveland Clinic Health System is pleased to be an equal employment employer:… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- Responsibilities: Work within established research systems to deliver prescribed outcomes for a designated part of an economic research program. Conduct ... various data and analytics reports. Contribute information to business cases for research funding to quantify current costs, justify project investment, and identify… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Clinical Research Coordinator 2 to work at the UHealth campus in Miami, Fl. CORE JOB ... SUMMARY The Clinical Research Coordinator 2 serves as a mid-level clinical ...UP, deviations, etc. with support from the Sr. Regulatory Specialist . + Communicates all IRB and Sponsor related approvals,… more
- Molina Healthcare (FL)
- …work 1 Saturday a month **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina ... timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews… more
- Molina Healthcare (St. Petersburg, FL)
- …(DRG) requests. * Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; ... claims as a refund or auto debit in claim systems and in recovery application. * Follows department processing...or equivalent combination of relevant education and experience. * Research and data entry skills. * Organizational skills and… more
- Molina Healthcare (Miami, FL)
- …Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive research and resolution of **Provider No Surprises Act** cases to ensure that ... and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases outcomes. . * Requests… more
- Molina Healthcare (Orlando, FL)
- …2 years experience in customer service, consumer advocacy, and/or health care systems . Experience conducting intake, interviews, and/or research of consumer or ... providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare. **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in… more
- Siemens Energy (Orlando, FL)
- …seamless execution of all procurement aspects. + Leverageadvanced digital systems to manage supplier/subcontractor information,requests for proposals, purchase order ... in more than 90 countries, we develop the energy systems of the future, ensuring that the growing energy...met reliably and sustainably. The technologies created in our research departments and factories drive the energy transition and… more