- Molina Healthcare (Jacksonville, FL)
- …expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical ... and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications**… more
- Aveanna Healthcare (Tampa, FL)
- …Holidays, Vacation Days, and Sick Days + Quarterly Bonus Opportunities + Mileage Reimbursement + 401(k) Savings Plan with Employer Matching + Employee Stock Purchase ... Plan with a 15% Discount + Tuition Discounts and Reimbursement Program (conditions apply) + Nationwide Presence with Advancement Opportunities + Employee Recognition… more
- CVS Health (Orlando, FL)
- …of care (assessing, planning, implementing, coordinating, monitoring, and evaluating) for a Medicaid population in Dade and Monroe Counties, FL. **What you will do** ... Reliable transportation required; Mileage is reimbursed per our company expense reimbursement policy + 2+ years' experience using personal computer, keyboard… more
- Humana (Palm Bay, FL)
- …401(k) retirement savings plan with a competitive match + Tuition reimbursement and/or scholarships for qualifying dependent children + And much ... years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid , achieve their best possible health and wellness through plans with benefits and… more
- BeneLynk (Sunrise, FL)
- …of the role will include making and fielding calls to help Medicare and Medicaid Managed Care Plan Members determine which benefit(s) best suit them and assisting ... Community Programs (transportation, meals, energy discounts), Medicare Savings Programs, Medicaid , and Veteran's coordination of care. Our outstanding Member… more
- NHS Management, LLC (Crystal River, FL)
- …+ Healthcare billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's + Experience with Medicaid ... and produce results under pressure + Fundamental knowledge of accounting practices and agency reimbursement programs + Must be at least 18 years of age + Must speak,… more
- HCA Healthcare (Orange Park, FL)
- …and resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist ... policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug Administration, Medicare… more
- Organon & Co. (Pensacola, FL)
- …of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments and communicating proficiently regarding ... Assignment of Benefits (AOB) and 340B. Knowledge of Managed Care, State Medicaid , Managed Medicaid , Kaiser, Management Service Organizations, Group Purchasing… more
- CVS Health (Tallahassee, FL)
- …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare- Medicaid Plan) * Develop and lead clinical strategy and objectives for ... Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP and other complex… more
- CVS Health (Miami, FL)
- …Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate ... all necessary care covered by their benefit plans and available through Medicaid and community resources. + Build relationships with hospital social workers and… more