- 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
- 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)
- …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
- 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
- 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
- RTX Corporation (Largo, FL)
- …for a security clearance **Security Clearance:** DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace This position is Onsite and does not offer ... employer retirement contribution, including a Lifetime Income Strategy option + Tuition reimbursement program + Student Loan Repayment Program + Life insurance and… more
- Banner Health (FL)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... improving to make Banner Health the best place to work and receive care . Are you an experienced **Hematology Oncology Physician Coder** looking for the opportunity… more