- AdventHealth (Maitland, FL)
- …day-to-day credentialing and privileging issues as they arise. + Assists with managed care delegated credentialing audits; conducts internal file audits. ... Professional Medical Staff Management (CPMSM) Preferred Or Certified Provider Credentialing Specialist (CPCS) Preferred Additional Licenses and Certifications… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …for children, adolescents and adults whose needs are extra ordinary. As a Contracts / Managed Care Specialist , you will: + Distribute monthly rosters to ... Care can substitute for education **_required_** **Experience:** + Experience in managed care , credentialing , or healthcare administration preferred. +… more
- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist ...procedures for recurring business needs + Assist with Pharmacy credentialing and attestations + Ensure accurate and timely payment… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …required. Qualifications: + Minimum of two (2) years previous experience in a managed care organization's Credentialing department. + NAMSS CPCS ... are received and processed, correct data entry, and updated regulatory and credentialing documents are entered and/or scanned into the Doctors HealthCare Plans, Inc,… more
- Organon & Co. (Orlando, FL)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- AdventHealth (Altamonte Springs, FL)
- …requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting team, ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- Intermountain Health (Tallahassee, FL)
- …an entire market. Ensures enrollment is completed timely and accurately. Follows-up with managed care organizations and government payers to ensure timely and ... Staff, Medical Directors, and Administration. The position directs the on-going credentialing / privileging process and other administrative functions for the… more
- Communities Connected for Kids (Port Saint Lucie, FL)
- **Description** **_**This is a field-based foster care case management role that will travel and provide coverage to clients throughout Indian River, Martin, ... independent living for teens aging out of the foster care system? Would you like to assist adults formerly...and compassionate individual to be a Road to Success Specialist ! **Being a Road to Success Specialist … more
- Highmark Health (Tallahassee, FL)
- …+ 3 years of experience required in health care / managed care + 3 years of experience in credentialing /re- credentialing of practitioners/providers ... **Substitutions** + None **Preferred** + Bachelor's degree. + Certified Provider Credentialing Specialist (CPCS) certification **Skills** + None **SCOPE OF… more
- Cardinal Health (Tallahassee, FL)
- …+ Ensure all insurance plans are set up to proper track revenue associated to managed care contracts + Collaborate with Revenue Cycle team to establish contract ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
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