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15 Jobs Found
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Premium Reconciliation Auditor

Job type: Full-Time

education and experience College-level degree or equivalent experience in healthcare Background in Medicare...

Simply Healthcare Plans  
FL - Miami
2 days ago

Pharmacy Technician

Job type: Full-Time

Administrative Tier Exceptions Act as a liaison between Simply Healthcare Plans and its customers (members ... Plans when working with non-Simply...

Simply Healthcare Plans  
FL - Miami
2 days ago

Complex Nurse Case Manager - Field-Based

Job type: Full-Time

The Nurse Case Manager will be responsible for following the Simply Healthcare Plans CM / DM ... – Required Veterans Welcome! Hiring reservists and...

Simply Healthcare Plans  
FL - Tampa
2 days ago

Nurse Case Manager

Job type: Full-Time

SUMMARY: The Nurse Case Manager will be responsible for following the Simply Healthcare Plans ... – Required Veterans Welcome! Hiring reservists and...

Simply Healthcare Plans  
FL - Tampa
3 days ago

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NURSE AUDITOR with DRG + CODING

Job type: Full-Time

The DRG Nurse Auditor primary responsibilities include performing DRG and other inpatient coding/billing validations audits; and Utilization...

Simply Healthcare Plans  
FL - Miami
5 days ago

Concurrent Review Nurse - Dade/Broward County

Job type: Full-Time

coordination result in effective and appropriate use of healthcare services. PRINCIPLE DUTIES: Performs medical ... working in a managed care...

Simply Healthcare Plans  
FL - Miami
5 days ago

Claims Manager - Medicare/Medicaid

Job type: Full-Time

aspects of Simply Healthcare Plans’ claims and encounters processes. Works closely with the Directors of ... healthcare plans. Excellent leadership...

Simply Healthcare Plans  
FL - Miami
5 days ago

HEDIS Quality Improvement Manager

Job type: Full-Time

assigned Collaborate with interdisciplinary members of the healthcare team, including physicians, nurses ... , Healthcare project management...

Simply Healthcare Plans - A subsidiary of Anthem, Inc.  
FL - Miami
12 days ago

Director of Claims

Job type: Full-Time

Simply Healthcare Plans’ claims and encounters processes. Works closely with the VP of Operations and the ... healthcare plans. Excellent...

Simply Healthcare Plans - A subsidiary of Anthem, Inc.  
FL - Miami
12 days ago

Manager of Provider Administration

Job type: Full-Time

This position will manage the day to day operations of the Provider Relations Department. This person will also be responsible for maintaining and...

Simply Healthcare Plans  
FL - Miami
12 days ago

Finance Manager (healthcare experience required)

Job type: Full-Time

Qualifications Bachelor’s degree in accounting required Healthcare industry experience...

Simply Healthcare Plans  
FL - Miami
12 days ago

Bi-Lingual Member Services Representative

Job type: Full-Time

develop the necessary action plans to accomplish specific goalsplans, within the required timeframes ... and military veterans is important to...

Simply Healthcare Plans  
FL - Miami
23 days ago

Pediatric Nurse Case Manager

Job type: Full-Time

Healthcare Plans CM / DM Programs and the early identification, assessment and management of those children ... Simply Healthcare Plans offers...

Simply Healthcare Plans  
FL - Miami
23 days ago

Provider Network Consultant

Job type: Full-Time

/or EXPERIENCE Bachelor’s degree or the equivalent of 2 years’ experience in a managed healthcare environment...

Simply Healthcare Plans  
FL - Tampa
25 days ago

Managed Care Coordinator

Job type: Full-Time

The organization is located in southeastern Florida and is headquartered in the Coral Gables area. Clear Health Alliance offers a comprehensive health...

Simply Healthcare Plans  
FL - Miami
26 days ago

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