- Centene Corporation (Tallahassee, FL)
- …**Position Purpose:** Plan, manage and coordinate the analysis and configuration of claims information systems to meet business needs. + Oversee the ... configuration changes and design within core claims payment system. + Monitor production, backlog and accuracy...payment system. + Monitor production, backlog and accuracy of configuration . + Develop configuration tools and methodologies… more
- Deloitte (Miami, FL)
- Manager /Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... and technology enabled solutions focused on "heart of the business " issues in specific sectors including Health Care &...the development of junior staff. Your role As a Manager /Specialist Master you will bring considerable technical expertise to… more
- HealthEdge Software Inc (Tallahassee, FL)
- **Overview** **Position** **Overview:** We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your ... business intelligence, integration capabilities, a unique to industry configuration and promotion application, and home and host processing support available… more
- CVS Health (Jacksonville, FL)
- …of HRP contract setup against contract intent and evaluate the pricing performance of claims . Accurate provider pricing configuration is critical to claims ... team, Business Intent Review (BIR), HRP Provider Demographics, HRP Claims , HRP Product, legal/compliance, medical policy, and/or segment leaders this position… more
- HealthEdge Software Inc (Tallahassee, FL)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly...our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that… more
- Deloitte (Miami, FL)
- …and deploy innovative and technology enabled solutions focused on "heart of the business " issues in specific sectors including Health Care & Life Sciences, Digital ... clients, combining strategic thinking with deep industry knowledge to solve complex business problems in a team-based environment. We architect operating models and… more
- HealthEdge Software Inc (Tallahassee, FL)
- …Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business . Payment ... where root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The… more
- Elevance Health (Tampa, FL)
- …contact for a specific pharmacy program which may be assigned by geographic location, business unit, or functional area.** **How you will make an impact:** + Manages ... for existing accounts. + Translates client intent into clinical system configuration requirements. + Mentors clinical and non-clinical associates. + Analyzes… more
- HealthEdge Software Inc (Tallahassee, FL)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... at HealthEdge. We empower our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that work for our … more
- AdventHealth (Altamonte Springs, FL)
- …of system build and implementation, the ability to analyze and understand business problems, and the knowledge to make solution recommendations that meet the ... organizational goals of maintaining clinical and business systems. They provide a secure, effective, integrated patient care delivery system that continually… more