- Robert Half Accountemps (Boca Raton, FL)
- Description We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing ... industry. * Proficiency in E/M coding and auditing principles. * Familiarity with Medicare claims, payer denials, and CPT codes. * Strong analytical skills and… more
- Highmark Health (Tallahassee, FL)
- …experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of ... experience analyzing pharmaceutical cost of care data **Substitutions** + None **Preferred** + Masters of Pharmacy or Masters of Business Administration + AMCP-ASHP accredited residency in managed care pharmacy + Experience leading or participating in Pharmacy… more
- Amazon (FL)
- …Application deadline: Jan 8, 2026 As a Program Manager II on the One Medical At -Risk team, you will be the primary builder of new and existing capabilities and ... programs aimed at improving health outcomes for our at-risk patient populations. Working within Amazon's mission to be Earth's most customer-centric company, you will drive operational improvement and strategic initiatives from concept to implementation,… more
- AdventHealth (Altamonte Springs, FL)
- …activities. These activities include preparation and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and ... of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will ... drive the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the… more
- Humana (Tallahassee, FL)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Tallahassee, FL)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- CVS Health (Tallahassee, FL)
- …the Aetna Mental Well-Being/Resources for Living book of business, specifically our Aetna Medicare plan sponsor. Aetna Medicare is considered a plan sponsor to ... will support the primary Account Manager for the RFL's program with Aetna Medicare and may expand to support of other enterprise customers. Responsibilities include:… more
- Humana (Tallahassee, FL)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
- CVS Health (Tallahassee, FL)
- …for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager. This position will be a part of a specialized team who will focus ... sales agents to achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the assigned market. The manager will… more