- Prime Therapeutics (Tallahassee, FL)
- …client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's ... within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical… more
- CenterWell (Palm Coast, FL)
- …care, primary care or Medicare Advantage settings. + Active DEA license and Medicare/ Medicaid provider numbers or ability to obtain DEA license and/or Medicaid ... and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines. **Compensation & Benefits** + Competitive base salary + quarterly bonus + Health insurance effective Day 1 + 401(k) with employer match + CME allowance + dedicated CME… more
- MyFlorida (Miami, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... state licensure and federal certification requirements for participation under Medicare/ Medicaid . The incumbent will document findings and complete written reports… more
- Signature Healthcare (Chipley, FL)
- …have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great Place to Work ... of Signature centers are earning Five-Star ratings from the Centers for Medicare & Medicaid Services. We were also named one of Modern Healthcare's "Best Places to… more
- Molina Healthcare (FL)
- …and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** ... + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work experience… more
- R1 RCM (Panama City, FL)
- …to meet their financial obligations. Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in ... Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency. Perform all… more
- CVS Health (Tallahassee, FL)
- …market + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices + ... Demonstrated understanding of Medicaid industry standards and NCQA requirements + Proficient in Microsoft Office tools + Strong analytical skills regarding HEDIS… more
- Molina Healthcare (Tampa, FL)
- …and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution ... coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Aveanna Healthcare (Winter Park, FL)
- …an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all health-related requirements in relevant ... 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
- MyFlorida (Clearwater, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... state licensure and federal certification requirements for participation under Medicare/ Medicaid . The incumbent will document findings and complete written reports… more