- AdventHealth (Maitland, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- Molina Healthcare (St. Petersburg, FL)
- …Experience with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is ... required. + Must be able to work in a cross functional team. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 6+ years of progressive responsibilities in Data, Finance or Systems… more
- AdventHealth (Maitland, FL)
- … Care and role related functions such as new government regulations and reimbursement methodologies. Supports AH Managed Care and AH Regional PFS ... government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application… more
- AdventHealth (Maitland, FL)
- …(Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all AH ... applicable rules, regulations, policies, laws, and guidelines that impact healthcare billing. ** Reimbursement -30%** + Supports Managed Care leadership in… more
- AdventHealth (Maitland, FL)
- …for analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement . The role focuses on ... ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both… more
- Molina Healthcare (Orlando, FL)
- …process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations ... Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan...concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge… more
- Molina Healthcare (FL)
- …utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such ... facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft… more
- Evolent (Tallahassee, FL)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Experience with ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- CVS Health (Hialeah, FL)
- …changing environment + Effective communication skills, both verbal and written + Managed Care experience + Computer proficiency in Microsoft Word, Excel, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- RTX Corporation (St. Petersburg, FL)
- …for a security clearance **Security Clearance:** Top Secret - Current Raytheon Company, Managed By Collins Aerospace. Collins Aerospace, an RTX company, is a leader ... market. Collins Aerospace is seeking a highly motivated Senior Analyst to join the Configuration and Data Management (CMDM)...including a Lifetime Income Strategy option. + Tuition reimbursement program. + Student Loan Repayment Program. … more
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