- Molina Healthcare (Miami, FL)
- …and supervision of daily functional operations to insure compliance to contract requirements. **Knowledge/Skills/Abilities** * Oversees budget responsibilities ... type management responsibility. 5 years progressive experience supporting a Medicaid,. Medicare and Marketplace or large claims processing environment with… more
- Humana (Tallahassee, FL)
- …and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for services the ... in special projects as assigned by your Supervisor or Manager . **Use your skills to make an impact** Additional...recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years.… more
- CenterWell (Tallahassee, FL)
- …+ Responsible for day-to-day operations of centralized RCM offerings and Medicare Advantage financial recoveries through health plan contestations process. + Oversee ... Operations, EMR/Technology, Clinical, Medical Coding, Credentialing, Contracting, Legal and Compliance ) + Facilitate revenue and receivable meetings between RCM… more
- Molina Healthcare (Tampa, FL)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- CenterWell (Port Saint Lucie, FL)
- …"on-call" program of Conviva Senior Primary Care. + Assures personal compliance with licensing, certification, and accrediting bodies. **Required Qualifications** + ... for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare … more
- CenterWell (Tampa, FL)
- …primary care "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Fort Lauderdale, FL)
- …local primary care "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five… more
- CenterWell (Delray Beach, FL)
- …local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Deerfield Beach, FL)
- …local primary care "on-call" program of Conviva. Assures personal compliance with licensing, certification, and accrediting bodies. **Required Qualifications:** ... screened for TB. **Preferred Qualifications:** Active and unrestricted DEA license Medicare Provider Number/ Medicaid Provider Number Experience managing Medicare… more
- CenterWell (Apopka, FL)
- …primary care "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more