- CenterWell (Port Saint Lucie, FL)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... **Become a part of our caring community and help us put health first** The Referral and Scheduling Coordinator schedules and pre-registers patients for exams and… more
- CenterWell (Tallahassee, FL)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates...Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years… more
- AdventHealth (Minneola, FL)
- …Off from Day One - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support - Pet Insurance * **Our promise to you:** Joining ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
- CenterWell (Tallahassee, FL)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... **Become a part of our caring community and help us put health first** The Senior Specialty Consultative Pharmacist processes and dispenses Specialty Rx medication.… more
- ChenMed (Greenacres, FL)
- …quality improvement. + Follows all applicable government regulations including HIPAA, Medicare and Co-pay requirements. + Engages patients by offering assistance, ... and meet/ complete deadlines as assigned by the Pharmacy Manager or Pharmacist on duty. + Process claims for...for 3rd party reimbursement efficiently and correctly to third-party insurance providers to obtain payment. + Earns and maintains… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience… more
- CenterWell (Tamarac, FL)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... **Become a part of our caring community and help us put health first** The Referral Coordinator schedules and pre-registers patients for exams and procedures with… more
- Actalent (Sunrise, FL)
- …utilization. Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an interdisciplinary ... Milliman Commercial Guidelines + Medicaid + Medical management + Medicare + Managed care + Patient care + Medical...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Molina Healthcare (Tampa, FL)
- …with the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina and presents cases ... needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health , pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding… more