- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Mission of the position:** The BH Clinical Liaison is a Behavioral Health leader for the Aetna state Medicaid ... new business and re-bids as it relates to Behavioral Health . Finally, the BH Clinical Liaison supports the design and implementation of Behavioral… more
- Centene Corporation (Tallahassee, FL)
- …and performs review of member clinical records and services related to behavioral health and substance use. + Interpret and present program results and ... bilingual (Spanish speaking) with Florida license and experience in an outpatient behavioral health setting, experience working in provider facing positions with… more
- Elevance Health (Tallahassee, FL)
- …an impact:** + Leads plan level HEDIS strategy to drive improvement in behavioral health HEDIS measures, ensuring achievement in performance guarantees and/or ... the largest, most complex plan programs. **Minimum requirements:** + Requires a BS in health administration, nursing, or a related clinical field; 4 years of … more
- MyFlorida (Tallahassee, FL)
- …vendor. + Performing programmatic clinical monitoring for the CMS Plan behavioral health populations including but not limited to enrollee record reviews, ... Serving as the subject matter expert and the Plan's liaison with the Agency for Health Care...to the CMS Managed Care Plan Central Office for clinical reasons related to behavioral health… more
- HCA Healthcare (Tallahassee, FL)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... over 156,000 hours volunteering in our communities. As a(an) Clinical Documentation Integrity Liaison with HCA Healthcare...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Highmark Health (Tallahassee, FL)
- …all practices and the RCC. ESSENTIAL RESPONSIBILITIES: + Acts as primary revenue cycle liaison for the most complex clinical departments and practices and acting ... **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: The...documentation & billing processes. Collaborates and helps to optimize clinical documentation through analysis and prioritized evaluation. Works collaboratively… more
- Highmark Health (Tallahassee, FL)
- …our community-based palliative care program. In addition, this role will provide clinical leadership and guidance to the regional interdisciplinary team. The medical ... improvement projects and engagement with process improvement. The role includes recognizing clinical gaps and opportunities among the team and to work with the… more
- Highmark Health (Tallahassee, FL)
- …accounts and/or initiatives.Support strategic provider relationships to understand the current health care delivery state, readiness for change, test value based ... with PNR stakeholders to incorporate VBR into product, network, and provider integration. Liaison with Enterprise & P&L leaders on their overarching strategies to… more