South Florida Community Care Network
Position Summary: This position coordinates, educates, and provides expertise to members across the continuum of care from complex medical to chronic conditions as well as promote compliance with preventative care measures. The position coordinates healthcare interventions designed to facilitate care…
Position Summary: The Population Health Social Worker plays a crucial role in facilitating the psychosocial care of patients to ensure quality outcomes and appropriate utilization of healthcare resources. As a key member of a multi disciplinary team, the Population Health…
POSITION SUMMARY: This position is responsible for performing pre payment audits and ensuring timely and accurate claim payments utilizing analytic reporting and coding software tools.ESSENTIAL DUTIES AND RESPONSIBILITIES:Facilitates pre payment audit reporting and payment posting process to ensure accuracy of…
Position Summary: The Provider Operations Contract Negotiator will play a critical role in managing provider contracting activities and negotiations to ensure the availability of a robust network of healthcare providers for our members. This role will be responsible for negotiating…
Position Summary: Responsible for fostering strong provider relationships through targeted engagement and ongoing education to the provider network in assigned market areas by performing the following duties. Essential Duties and Responsibilities Engage in open face to face dialogue with physicians…
Position Summary: Business Intelligence Analyst II (BIA) is responsible for developing complex reporting using T SQL language using various tools such as Microsoft SQL Server Reporting Services (SSRS) and other data visualization tools. They are also responsible for developing and…
Position Summary: The Marketing Manager is a creative and detail oriented professional who leads the development and execution of marketing materials and communications that enhance member and provider engagement. This role requires a strong blend of strategic thinking, project management,…