- AdventHealth (Altamonte Springs, 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
- Intermountain Health (Tallahassee, FL)
- …payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback ... to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause...Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue + Work… 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
- Devereux Advanced Behavioral Health (Orlando, FL)
- …a great mission and culture? Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care )!_ Devereux provides mental and behavioral ... **Description** _Are you a Contracts and Managed Care Professional looking for a...mental health services. + Student loan debt assistance, tuition reimbursement and continuing education assistance. + Generous time-off (start… 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 (Miami, 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
- CVS Health (Miramar, 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
- Evolent (Tallahassee, FL)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... 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 (Tampa, FL)
- …to multitask, prioritize and effectively adapt to a fast-paced changing environment + Managed care experience + Case management and discharge planning experience ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...in FL. Mileage is reimbursed per our company expense reimbursement policy + 1 + year of experience in… more
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