- Molina Healthcare (St. Petersburg, FL)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (St. Petersburg, FL)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (St. Petersburg, FL)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Marriott (St. Petersburg, FL)
- …the restaurant marketing plan in partnership with the either the Hotel General Manager / Manager or Director of Operations and Hotel/Brand Marketing teams ... * Supervises daily shift operations in absence of Assistant Restaurant Manager . * Oversees the financial aspects of the department including purchasing… more
- Sarasota County Government (Sarasota, FL)
- …the community? Join Sarasota County's Office of Financial Management as a Community Housing Manager II and play a key role in shaping the future of housing programs ... programs, guiding a dedicated team to deliver services with impact and integrity . From developing housing strategies and policies to recommending funding priorities… more
- Turner & Townsend (St. Petersburg, FL)
- …Project Manager ** to oversee a large-scale public sector construction program . This role requires deep expertise in design, construction, and operations, along ... and fun company culture. Our clients value our proactive approach, depth of expertise, integrity and the quality we deliver. As a result, our people enjoy working on… more
- HCA Healthcare (Sarasota, FL)
- …and collections for patient services. Under the supervision of the Business Office Manager /Business Office Supervisor, you will obtain payment from third party ... are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- Molina Healthcare (St. Petersburg, FL)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- HCA Healthcare (Sarasota, FL)
- …center patients. Under the supervision of the CBO Director or Business Office Manager , you will be responsible for payment collection and reimbursement. What ... are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more