- Humana (Tallahassee, FL)
- …reviewing criteria to ensure appropriateness of care preferred + Previous Medicare experience a plus + Milliman MCG experience preferred **Additional Information** ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Actalent (Orlando, FL)
- …clinical trial budgets and protocols. This position involves expertise in Medicare coverage analysis, financial processes, including invoicing and time and effort, ... System builds + Understanding of clinical research protocols and budgets, including Medicare Coverage Analysis + Motivated, organized, and able to function with… more
- Humana (Tallahassee, FL)
- …+ Accounting/Finance knowledge/experience + Advanced SQL or similar + Medicare /Medicaid experience + Data architecture/solution architecture experience + Project ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Aveanna Healthcare (Bradenton, FL)
- …RN or PT experience in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of OASIS As an employer ... accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and… more
- Sedgwick (Tallahassee, FL)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- Aveanna Healthcare (Sarasota, FL)
- …in the state of application + Valid CPR and Drivers License Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year LPN experience ... setting + Home Care Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Aveanna Healthcare (Lake City, FL)
- …active RN License in the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN 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,… more
- Aveanna Healthcare (Orlando, FL)
- …in the state of application + Valid CPR and Drivers License Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year LPN experience ... setting + Home Care Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Edwards Lifesciences (Miami, FL)
- …payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran ... Affairs (VA) and commercial payers. **The Director, Global Health Economics and Reimbursement will reside in either Florida, South Carolina, or North Carolina and support field activity in those markets.** The role will report to the Sr. Director East, Global… more
- CVS Health (Tallahassee, FL)
- …or willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + **Community Resources:** Familiarity with community ... the position **Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members + Experience working with individuals with SDoH… more