- Highmark Health (Tallahassee, FL)
- …in the organization's value-based reimbursement programs. Strong knowledge of risk adjustment methodologies and reporting/regulatory requirements and CMS Stars ... to pay-for-value programs, episode payments, prospective bundled payments, gain share and risk share models and will be implemented for the Organization's Medicare… more
- Humana (Tallahassee, FL)
- …Certification + 4 or more years of medical coding experience + Risk Adjustment knowledge + Familiar with coding guidelines **Preferred Qualifications** + Bachelor's ... Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- HCA Healthcare (Port St. Lucie, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...care by providing continuous observation and monitoring for high risk patients. In collaboration with the patient care team,… more
- Comerica (Palm Beach Gardens, FL)
- …Time/Part Time Employees Health, Dental, Vision, 401k match and Life Insurance Employee Assistance Program Tuition Assistance Program (Full Time) Financial Coaching ... Effective utilization of converge for customer relationship management. Operational Risk : Ensure compliance with applicable federal, state, and local laws… more
- Elevance Health (Miami, FL)
- …audits, internal control assessments, strategy reviews, special projects, and risk assessment activities for the enterprise, across all lines of ... Provide valuable insights to the business to improve the effectiveness of risk management, control and governance processes. **How You Will Make an Impact:**… more
- HCA Healthcare (Sebring, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...care by providing continuous observation and monitoring for high risk patients. In collaboration with the patient care team,… more
- HCA Healthcare (Ocala, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...patients as assigned + Identifies patients who are at risk for adverse outcomes during the transition from one… more
- HCA Healthcare (Kissimmee, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...patients as assigned. + Identifies patients who are at risk for adverse outcomes during the transition from one… more
- USAA (Tampa, FL)
- …are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + Bachelor's ... quantitative field (eg finance or a social/behavioral science); OR 4 years of insurance industry (please verify) experience (in addition to the minimum years of… more
- GE Aerospace (Jacksonville, FL)
- …and project goals to their function, and vice versa. Provides risk -assessed options in relation to process enhancement and professional expertise. Consults ... and processes that have not been utilized before. + Decision Making & Risk Management - Analyzes and interprets business strategy, policies, values, complex data… more