- Banner Health (FL)
- …Health recently earned Great Place To Work(R) Certification (TM) . This recognition reflects our investment in workplace excellence and the happiness, satisfaction, ... assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state… more
- Humana (Tallahassee, FL)
- …and help us put health first** Are you a detail-driven, logic-oriented professional who thrives on translating complex marketing strategies into actionable data ... solutions? We're looking for a Senior Associate, Data Manager to join our team and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Tallahassee, FL)
- …in both traditional machine learning and emerging generative AI technologies. As a Senior Engineer, you will play a key role in developing and deploying innovative ... related field) with a minimum of 5 years of professional experience; OR + Master's Degree in a similar...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Tallahassee, FL)
- …and help us put health first** We are looking for a highly capable Senior Data Scientist to support advanced AI initiatives focused on generative AI, embeddings, and ... + Databricks certifications (eg, Data Engineer Associate, Machine Learning Professional , Generative AI Engineer Associate). + Familiarity with ServiceNow data… more
- Cardinal Health (Tallahassee, FL)
- …payment posting, denial resolution, and responding to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work ... coding, posting and front office teams to resolve account issues + Ensure compliance with HIPAA and all relevant federal/state payor regulations. + Flag trends or… more
- CVS Health (Tallahassee, FL)
- …Tracking Database audits + Support audits out of QNXT and PRMS to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... candidate location and commutable distance to office.** **Required Qualifications** + 5+ years compliance and/or audit experience in SOC and SOX controls + 5+ years… more
- CenterWell (Tallahassee, FL)
- …State Department of Health, Federal, and local agencies. + Oversee and manage Medicaid and Medicare enrollment, renewal, and compliance activities. + Track ... seeking a detail-oriented and experienced Home Health Facility Licensure & Regulatory Compliance Analyst to join our team. The successful candidate will oversee… more
- AdventHealth (Maitland, FL)
- …and Ancillaries. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms. This affords AdventHealth ... net patient revenue for the Florida division. This position assists the Sr . Contract Manager with ensuring that preferred contract language provides for ease… more
- HCA Healthcare (Gainesville, FL)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... patient + Demonstrates excellent customer service + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to… more
- CVS Health (Tallahassee, FL)
- …quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD-10 codes that are submitted to the Centers for ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment...departments and management. + Conducts process audits to ensure compliance with internal policies and procedures and existing CMS… more