- AdventHealth (Tampa, FL)
- …activity. 3. Be eligible to participate as a provider in the Medicare and Medicaid programs. 4. Be an active member in good standing of the AdventHealth Medical ... Staff with all privileges and responsibilities accorded such status. 5. Hold current certification in relevant specialty by ABMS or AOA. 6. Have at least three (3) years of relevant, specialty specific, documented educational and/or administrative experience.… more
- AdventHealth (Altamonte Springs, FL)
- …regulatory and public-reporting trends such as Centers for Medicare and Medicaid Services (CMS) Value-Based Purchasing, Agency for Healthcare Research and Quality ... (AHRQ) patient safety indicators, national clinical registry reporting and other payer programs to incorporate in strategic plans. **Performance Improvement Responsibility** : Serves as Executive Sponsor for clinical value transformation initiatives across… more
- AdventHealth (Orlando, FL)
- …and keeps up with regulatory and healthcare changes pertaining to Medicare/ Medicaid , payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works ... closely with CDI specialists and Coding, providing coding conventions and guidelines when clinical and coding determinations are in conflict. Works directly with the physician advisor to discuss cases that require additional evaluation and finalization. **The… more
- AdventHealth (Orlando, FL)
- …but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation of processes ... based upon data management, accountability for Length of Stay, Excess Days, Avoidable Days, Readmission Prevention, and Discharge Planning. In addition, the Care Management Manager is responsible for department engagement, customer experience, compliance of… more
- Aveanna Healthcare (Dade City, FL)
- …experience in a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- HCA Healthcare (Ocala, FL)
- …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the Ethisphere Institute… more
- Molina Healthcare (FL)
- …familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited ... to, fee-for service, capitation and various forms of risk, ASO, etc. **PREFERRED EDUCATION** : Bachelor's Degree in a related field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : * 3+ years experience in managed healthcare… more
- HCA Healthcare (Bradenton, FL)
- …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the Ethisphere Institute… more
- Aveanna Healthcare (Brooksville, FL)
- …and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all ... relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- MyFlorida (Fort Lauderdale, FL)
- …procedures. Oversee accounts payable, accounts receivable, the preparation of the Medicaid cost-based report, yearend financial reports and ensure that DOH A/R ... standards are met. Oversee accounts payable and ensure that all standards regarding P-card compliance and prompt payment are met. Complies with and, when applicable, monitors compliance with the mandatory requirements in Section 215.422 Florida Statutes, and… more