- CVS Health (Tallahassee, FL)
- …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare -Medicaid Plan) * Develop and lead clinical strategy and objectives for ... the DSNP/FIDE populations, including the development and implementation of clinical initiatives and programs to address the needs of the populations managed to improve health outcomes. * Leverage extensive knowledge of health care delivery system, utilization… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- ChenMed (North Lauderdale, FL)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred + CPR ... for Healthcare Providers is preferred **PAY RANGE:** $16.5 - $23.56 Hourly **EMPLOYEE BENEFITS** https://chenmed.makeityoursource.com/helpful-documents We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Sedgwick (Miami, FL)
- …principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral ... and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Excellent negotiation skills + Ability to work in a… more
- CVS Health (Tallahassee, FL)
- …oversight of Aetna's three primary provider portal solutions: Availity Commercial/ Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental Portal. This ... role partners with our DDAT teams to develop the portal strategy and roadmap. Encompasses ownership for performance, vendor relationships, compliance, and team leadership, ensuring the delivery of exceptional provider experiences and operational excellence.… more
- CenterWell (Ocala, FL)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... to ensure the appropriateness of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + Participates in sales and marketing initiatives. + Supervises all… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …Provides case management utilizing knowledge of various insurance types (eg, Medicare , Medicaid, other private health insurances, and VA benefits) to recommend ... appropriate referrals and discharge plans to community providers. This may include verification of Veteran status and eligibility for participation in VA programs, monitoring admission and discharge dates of participants, reviewing and completing referrals,… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more