- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It is a ... **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsible for Medicare Oversight. + Provide regulatory expertise to the Organization:… more
- Humana (Tallahassee, FL)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an… more
- Humana (Tallahassee, FL)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- Insight Global (Sarasota, FL)
- …Global is seeking a candidate that can manage billing collection for Medicare account receivables, aiming to minimize outstanding accounts and maximize cash flow. ... timely reimbursement. Resolves RTP and denied claims, and maintains the electronic Medicare billing system. Coordinates and updates CM and DDE billing updates,… more
- Molina Healthcare (Orlando, FL)
- …of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, ... database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular… more
- Home Care Now (Tampa, FL)
- Home Care Now is hiring Registered Nurses for Medicare Admissions & Visits for PER DIEM positions serving patients in Hillsborough county. Medicare Oasis E and ... the physician's plan of care and orders * Complete Medicare SOC and Oasis E documentation * Follow physicians...least ONE year experience as an RN at a Medicare Home Health Agency * Medicare Documentation… more
- Molina Healthcare (St. Petersburg, FL)
- …market leader in the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit ... that will execute on Molina's Medicare national broker distribution strategy with National Marketing Organizations...strategy that drives significant sales growth of Marketplace and Medicare products with accounts. * Build and maintain strong,… more
- Centene Corporation (Tampa, FL)
- …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. ... prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and procedures pertaining… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app hydrated via ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Humana (Tallahassee, FL)
- …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis and interpretation ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more