- Molina Healthcare (St. Petersburg, FL)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Prime Therapeutics (Tallahassee, FL)
- …Management organization, or within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must be eligible to ... in related area of study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical Demands** + Ability to… more
- WestCare Foundation (Key West, FL)
- …+ Responsible for maintaining the patient's chart in compliance with State, CARF, Medicaid , and other rules and standards. + Attend and participate in training ... data in a comprehensive and effective manner. + Knowledge and understanding of Medicaid , CARF and Department of Children and Families rules and regulations. +… more
- Molina Healthcare (St. Petersburg, FL)
- …analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care ... Advantage members, the HHS model for Commercial ACA members, the CDPS model for Medicaid members, and others as needed + Must have a strong attention to detail… more
- Centers Plan for Healthy Living (Margate, FL)
- …Living's fundamental mission is to enroll eligible individuals who are either Medicaid or Medicaid /Medicare recipients and optimize their ability to remain ... in the community rather than being institutionalized. Centers Plan for Healthy Living will accomplish this using a multi-pronged approach to care management including ongoing assessment of members' care/social needs, developing a "living care plan" that is… more
- University of Miami (Miami, FL)
- …and diagnosis codes to verify and extract payment info. + Obtains Medicaid / HMO/MediPass authorizations and referrals information when necessary. + Posts Medicaid ... and other 3rd party payments in the CMS Database system as needed + Inputs Direct Services payments into the State database for Children's Medical Services (CMS) as needed. + Communicates identified problems to Supervisor / Fiscal Manager and makes… more
- Aveanna Healthcare (Tampa, FL)
- …adolescents, and/or adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements, including ... Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- AdventHealth (Davenport, FL)
- …of patient care services, including but not limited to Medicare, Managed care, Medicaid , third party providers, challenges to current health care policies, and key ... legislative initiatives at the local, state, and national level. Qualifications **The expertise and experiences you'll need to succeed:** Associates degree **or** Diploma in Nursing Specific experience as delineated by the unit of employment (see competencies)… more
- Gentiva (Ocala, FL)
- …to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid , JCAHO, ACHC) + Knowledge and compassion for terminally ill patients ... and their families + Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds + Strong interpersonal, organizational, and leadership skills + Competency in clinical documentation and technology… more
- Cardinal Health (Tallahassee, FL)
- …getting overwhelmed), required * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for coverage, preferred * Knowledge ... of DME, MAC practices, preferred * Prior understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred * Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and… more