- AdventHealth (Altamonte Springs, FL)
- …impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible ... bring to the team:** + Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain a strong working knowledge of current… more
- AdventHealth (Maitland, FL)
- …The Senior Compliance Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid , Tricare) payer reimbursement language and ... + Facilitate resolution to contract violations by leveraging knowledge of Medicaid contract requirements, regulations, and state specific appeal processes. +… more
- AdventHealth (Maitland, FL)
- …contracts. * Performs necessary research to obtain and maintain non-contracted payer reimbursement including Medicare , Medicaid , Tricare and other govt ... for remaining current on regulatory updates and rate changes that affect Medicare , Medicaid and TriCare reimbursement for contract loading and analysis… more
- Humana (Tallahassee, FL)
- …continuously improving consumer experiences **Preferred Qualifications** + Proven knowledge in Medicare and Medicaid regulations + Certifications (BA, MBA, JD, ... match + Generous Paid Time Off accrual + Tuition Reimbursement + Parental Leave **WAH requirements** : * Must...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Molina Healthcare (FL)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB ... Experience** + 3 - 5 years supervisory experience + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Experience with… more
- Elevance Health (Tampa, FL)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... and Reimbursement Senior** will support our Medicare Administrative...Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
- Elevance Health (Tampa, FL)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... and Reimbursement II** will support our Medicare Administrative...Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
- BayCare Health System (Clearwater, FL)
- …all levels of management. + This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically ... respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility… more
- Highmark Health (Tallahassee, FL)
- …gain share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid , ACA, and commercial populations with the goal of ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population… more
- J&J Family of Companies (Jacksonville, FL)
- …approval processes and business acumen. + Understanding of Medicare , Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical and ... on access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance… more
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