- Aveanna Healthcare (Bronson, 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
- Humana (Tallahassee, FL)
- …regulations or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare , Medicaid, and DSNP encounter processes and policies. + Working ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Akumin (Tampa, FL)
- …operations, financial + systems and financial reporting + Thorough understanding of Medicare , Medicaid, HMOs, PPOs, and private + insurance companies, as well as ... an understanding of ICD-10 and CPT coding, + EMR PQRS, and Medicare Quality Initiatives. + Experience working with medical data collection, billing systems and… more
- AdventHealth (Maitland, FL)
- …necessary research to obtain and maintain non-contracted payer reimbursement including Medicare , Medicaid, Tricare and other gov't payers. * Responsible for ensuring ... for remaining current on regulatory updates and rate changes that affect Medicare , Medicaid and TriCare reimbursement for contract loading and analysis purposes. *… more
- Evolent (Tallahassee, FL)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Humana (Tallahassee, FL)
- …data driven methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care, ... 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 (Brooksville, FL)
- …+ Valid CPR and Drivers license in the state of application 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
- AdventHealth (Orlando, FL)
- …are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice, ... and Beneficiary Notice Letter (BNL). Promotes individual professional growth and development by meeting requirements for mandatory/continuing ducation, skills competency, supports department-based goals which contribute to the success of the organization.… more
- Cardinal Health (Tallahassee, FL)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- Molina Healthcare (FL)
- …and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and Marketplace lines of business. + PMP, Certified… more