- AdventHealth (Maitland, FL)
- …managing revenue. Must be able to complete financial and operational analyses of managed care contracts, proposals, analyze fee schedules, and determine contract ... the Florida and Multi-State Divisions of AdventHealth, as well as represent AdventHealth managed care to payers in all AdventHealth Markets.** **The value you'll… 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
- BayCare Health System (Clearwater, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial ... Excel during the contract negotiation process. + Serves as Primary Contact for contract/ managed care payer claims and operational issues resolution for assigned… more
- Molina Healthcare (St. Petersburg, 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
- 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)
- …in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity- Required.** **Ability ... 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 (Miami, 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 (Largo, FL)
- …for a security clearance **Security Clearance:** DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace Collins Aerospace is looking for an entry-level ... Logistics Analyst to support the Largo, FL Logistics Shipping Operation...contribution, including a Lifetime Income Strategy option + Tuition reimbursement program + Student Loan Repayment Program + Life… more
- Highmark Health (Tallahassee, FL)
- …various complex potential claims with emphasis on controlling losses through effective managed care . This includes following a departmental claim checklist to ... ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for...3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate… more
- Community Health Systems (Sarasota, FL)
- …guidelines, and payor medical policies + Demonstrates knowledge of governmental, managed care , and commercial denial/appeal policies + Appropriately reviews ... (Full-Time, Remote) The Clinical Review Analyst is a professionally licensed nurse/LPN who is...defensible appeals (according to payer guidelines) to obtain appropriate reimbursement for care delivered to patients. As… more