- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **Knowledge/Skills/Abilities**… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Job Description** + The Sr. Manager , Medicare Sales Strategy develops and executes strategic initiatives to drive sales ... Medicare Advantage organizations, as well as operations, enrollment, compliance and finance + Mastery of Medicare ...enrollment, compliance and finance + Mastery of Medicare Sales and Marketing compliance guidelines and… more
- Molina Healthcare (Miami, FL)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- Molina Healthcare (St. Petersburg, FL)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... vendor performance involving onshore and offshore resources, monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality… more
- Molina Healthcare (Jacksonville, FL)
- …business areas and owners to ensure processes and reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with ... to assess, oversee, and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and… more
- Molina Healthcare (St. Petersburg, FL)
- …speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is ... leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. + Responsible for key… more
- Humana (Ocala, FL)
- …Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , MarketPoint Sales will supervise Medicare Sales Field Agents ... community and help us put health first** Our Senior Manager , MarketPoint Sales motivates and drives a team of...teams to promote provider engagement with Humana and ensuring compliance and marketing guidelines associated with Medicare … more
- WTW (Tampa, FL)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... know that our people are always the source of our success. The **Performance Manager ** plays a vital role in driving excellence within the Member Care department by… more
- Molina Healthcare (Miami, FL)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- AdventHealth (Orlando, FL)
- …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... UNDERHILL ROAD, Orlando, 32822 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and… more
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