- Grifols Shared Services North America, Inc (Kissimmee, FL)
- …access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS) ... Healthcare Common Procedure Coding System (HCPCS), and American Medical Association (AMA) Current Procedural Terminology (CPT) . Support with brand teams to expand key initiatives and strategies to the managed markets customer base, which consists of payers,… more
- Humana (Tallahassee, FL)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Molina Healthcare (Miami, FL)
- …State (TX) Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider ... contracting experience. * Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed… more
- Aveanna Healthcare (Melbourne, FL)
- …Valid CPR certification + Valid Drivers license and auto insurance 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… more
- Danaher Corporation (Orlando, FL)
- …+ Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and ... (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid) + Demonstrated and presentation skills Travel, Motor Vehicle Record… more
- Sedgwick (Tallahassee, FL)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Secures and disposes of salvage. + Reports claims to the ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- Aveanna Healthcare (Gainesville, FL)
- …maintain active CPR per agency policy. Preferred: * Bachelor's degree preferred * Medicare Skilled Nursing experience and a basic understanding of OASIS * 3+ years ... in a healthcare setting (home health preferred) As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Aveanna Healthcare (Sarasota, FL)
- …client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency policies, ... year medical social work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- AdventHealth (Altamonte Springs, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... ICD-10-CM rules and conventions, coding policy and procedures, requirements of Medicare / payer specifications, and official coding guidelines as outlined by… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Solutions Convey Health Solutions (Convey) is the trusted partner for Medicare payers seeking to streamline operations, optimize performance, and elevate member ... healthcare access and outcomes for seniors and vulnerable populations who depend on Medicare . Are you ready to help make healthcare work better for the people… more