Grievance & Appeals Coordinator I - Florida

We are seeking a talented individual for a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform all appeal related duties including analyzing and responding appropriately to appeals from providers; reviewing documentation to ensure all aspects of the appeal have been ...

Come lead with us at Corporate At Houston Methodist this position combines clinical business regulatory knowledge skill to reduce significant financial risk exposure caused by concurrent retrospective denial payments services provided reviewing denials level care medical necessit ...

Certified Medical Coders for remote contract job in Florida. Review medical documentation, analyze claim documentation and conduct coding audits to determine if denial reasons are valid or if payment reconsideration is warranted. · ...

We are currently looking for a Remote Intellectual Property Marketing Specialist. This position will have a significant impact on the execution of marketing initiatives across various regions. · Support the execution of integrated marketing campaigns for U.S. and EMEA regions. · ...

We are currently looking for a Remote Intellectual Property Marketing Specialist. In this role, you will have a significant impact on the execution of marketing initiatives across various regions, · Support the execution of integrated marketing campaigns for U.S. and EMEA regions ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...

Make a difference at one of Florida's premier institutions for education in science, technology, engineering, and math (STEM). Florida Polytechnic University, ranked the No. 1 public college in the region by U.S. News and World Report, offers a unique working environment that enc ...

This is a high-impact role where your expertise directly translates into patient access. · You'll be instrumental in shaping our market presence and ensuring the successful adoption of technology that's changing standard of cardiovascular care. · Join us and make differenceEducat ...

Baptist Health is seeking a Charge Integrity Associate 2 to coordinate billing services in their Miami-Dade region. · ...

· Position Purpose: With the (PHCO) Population Health and Clinical Operations PMO team, you will be part of Population Health project management initiatives and demonstrate a proven track record of successfully leading business (non-IT) clinical systems migrations. Business area ...

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. · Feel empowered to learn and grow while being ...

Baptist Health is the region's largest not-for-profit healthcare organization with 12 hospitals and over 28,000 employees. We create personal connections with our colleagues and form meaningful relationships with patients. · ...

Baptist Health is a not-for-profit healthcare organization with 12 hospitals and over 28,000 employees. We are seeking a Charge Integrity Associate to coordinate billing services. The successful candidate will have experience in charge entry or claims management and possess stron ...

A world class health system based in south Florida is now seeking an experienced Senior Director Cancer Center to join their award-winning healthcare organization · As a leading regional cancer center serving South Florida, this state-of-the-art, multidisciplinary facility spans ...

We are currently looking for a Manager, Medicare Claims. In this role, you will oversee end-to-end claims services for provider segments, ensuring we meet our business goals. Your leadership will help establish performance targets and manage the claims processing and financial as ...

This position oversees end-to-end claims services for provider segments, ensuring business goals are met. · ...

· The purpose of this position is to provide construction management, plans reviews, cost control, inspection, and oversight of professional contractors and/or consultants. · This class works under general supervision, independently developing work methods and sequences. Manages ...

High-impact role where expertise directly translates into patient access shaping market presence and adoption of technology changing cardiovascular care standard. · ...

This is a high-impact, visible role where your expertise directly translates into patient access. You'll be instrumental in shaping our market presence and ensuring the successful adoption of a technology that is changing the standard of cardiovascular care. · You will own:Strate ...

The Development Manager for the Florida Cancer Foundation Nonprofit will increase community awareness to drive the short- and long-term development and financial strategic plan and goals. This position will manage development initiatives, including special appeals, donor cultivat ...