- ChenMed (Miami, FL)
- …providers. We're rapidly expanding and we need great people to join our team. The Senior Manager , Payer Performance will provide analytical insights to ... optimize payer contract performance . The goal is to enable the company's leaders...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Extensive understanding… more
- Datavant (Tallahassee, FL)
- …and life experiences to realize our bold vision for healthcare. As the Product Manager , Routing in the Payer Data Product Organization, you will lead the ... healthcare data, with bonus points for experience in the payer risk adjustment space + Deep comfort working with...of Datavanters who are all responsible for stewarding a high- performance culture in which all Datavanters belong and thrive.… more
- AdventHealth (Maitland, FL)
- …This affords AdventHealth leadership the foundation for reporting and determining overall payer performance and allows AdventHealth the ability to accurately ... Florida Division and Ancillaries. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms.… more
- ChenMed (Miami, FL)
- …and Machine Learning (ML) driven solutions based on a rich stream of clinical, claims, payer , and behavioral data. The Senior Data Scientist operates in a highly ... we need great people to join our team. The Senior Data Scientist is responsible for developing and organizing...and complex analytical projects from data exploration, model building, performance evaluation and testing. + Assumes a prominent role… more
- Cardinal Health (Tallahassee, FL)
- …to recommend and implement preventive measures. + Prepare and present reports to senior leadership on collection performance , trends, and areas for improvement. ... **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing...of outstanding insurance claims. This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and ... economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial trends, reimbursement methodology, data… more
- University of Miami (Doral, FL)
- …Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Manager , Patient Access position. Core Job Summary: The Manager , Patient ... Responsibilities: + Recruits, supervises, trains, and disciplines staff, and prepares performance reports. + Manages day-to-day activities of personnel to ensure the… more
- CenterWell (Tallahassee, FL)
- …reporting for open notes and addendums, and gap attestation process and performance expectations. + Train acquired providers on PCO documentation requirements and ... leaders and champions to identify HEDIS gaps and deficiencies. + Participate in Payer calls/chart reviews. + Compile payer findings and assist with research.… more
- CenterWell (Tallahassee, FL)
- …reporting for open notes and addendums, and gap attestation process and performance expectations. + Train acquired providers on PCO documentation requirements and ... leaders and champions to identify HEDIS gaps and deficiencies. + Participate in Payer calls/chart reviews. + Compile payer findings and assist with research.… more
- CenterWell (Tallahassee, FL)
- …quantitative research techniques. + Experience in analyzing pharmacy, PBM and payer industry trends, competitive landscape, and consumer/patient behavior to inform ... skills to convey insights and recommendations to diverse audiences, including senior leadership. + Ability to create compelling presentations and reports that… more