- Humana (Tallahassee, FL)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- Public Consulting Group (Tallahassee, FL)
- …agency and school district clients in their efforts related to special education, Medicaid reimbursement , data management and use. While a remote role, it ... is expected that the successful candidate reside within Washington State, have a strong reputation within that state, and be able to travel to client locations as needed to meet with and support clients. **Duties And Responsibilities** + Serves as project… more
- AdventHealth (Maitland, FL)
- …contracts. * Performs necessary research to obtain and maintain non-contracted payer reimbursement including Medicare, Medicaid , Tricare and other gov't payers. ... on regulatory updates and rate changes that affect Medicare, Medicaid and TriCare reimbursement for contract loading and analysis purposes. * Obtains, updates,… more
- Cardinal Health (Doral, FL)
- …and increase cash flow for the organization. This position is a Medicaid insurance associate on the revenue cycle management team. **Responsibilities:** + Review ... aging reports and work insurance accounts to ensure timely resolution and reimbursement . + Contact insurance companies via phone, portals, or email to check claim… more
- BayCare Health System (Clearwater, FL)
- …of management. + This position is responsible for government payer reimbursement related to Medicare, Medicaid and TRICARE/CHAMPUS, specifically completion ... respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility… more
- HCA Healthcare (Orlando, FL)
- …like you to be a part of our team. **Job Summary and Qualifications** As Reimbursement Manager, you will complete Medicare and Medicaid cost reports to obtain ... join an organization that invests in you as a Reimbursement Manager? At HCA Healthcare, you come first. HCA...procedures. Your responsibilities will include: + Prepare Medicare and Medicaid cost reports to obtain all amounts due from… more
- MyFlorida (Fort Myers, FL)
- …variance reports with L4 program managers. Back-up for preparation of the Annual Medicaid Cost Based Reimbursement Report in accordance with form and content ... requirements. Back-up and assist with maintaining DOH-Lee depreciation schedule per the state's Depreciation guidelines. Prepare the Annual CORE Contract between the State of Florida and the Charlotte County Board of County Commissioners. Submit the completed… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …team reimbursement strategy to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will ... + Leads the development and execution of the commercial reimbursement strategy including Medicaid and Managed Medicare plans. + Responsible and accountable… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement , access, and coverage issues for our products, ... Educate HCPs and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria… more
- Cardinal Health (Tallahassee, FL)
- …center or customer service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred + Excellent written and oral communication, mediation, and… more
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