- Aveanna Healthcare (West Palm Beach, FL)
- …change at any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all ... relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- HCA Healthcare (Plantation, FL)
- …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or… more
- Centene Corporation (Tallahassee, FL)
- …3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Prior experience using analysis tools or ... systems (ex:** web based, custom, proprietary, etc.). Experience in the implementation of quality process improvement efforts. Experience documenting requirements, creating training materials and working directly with end users. **License/Certificate:**… more
- Lundbeck (Fort Lauderdale, FL)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - ... Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. **REQUIRED EDUCATION,… more
- Molina Healthcare (Jacksonville, FL)
- …communicator, and a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL DEMANDS:** Working ... environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long… more
- HCA Healthcare (Tampa, FL)
- …communicate nuances of unique coding requirements for major payers such as Medicare , Medicaid, HMO's, PPO's, IPA's, employers, etc. + Demonstrate and share knowledge ... of medical terminology, International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for multiple specialty areas. + Provide relevant coding guidance for customers and other departments to resolve issues. + Provide subject… more
- Dialysis Clinic, Inc. (Gainesville, FL)
- …and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. **Schedule:** Full-time, five 8-hour shifts ... **Compensation:** Pay range from $17.50-$22.88 per hour, depending on experience **Benefits:** + Comprehensive medical, dental and vision benefits + Life and long-term disability insurance provided at no additional expense to employee + Paid time off (PTO)… 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
- Prime Therapeutics (Tallahassee, FL)
- …or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible ... to work in the United States without need for work visa or residency sponsorship **Additional Qualifications** + Exceptional written and oral communication skills + Demonstrated ability to apply critical thinking skills and problem solve through highly complex… more
- AdventHealth (Oviedo, FL)
- …**Preferred qualifications:** + Doctorate Degree + Recent, relevant experience in a Medicare -certified home health agency as a care-manager + Cert for Oasis ... Specialist-Clinical (COSC) + Home Health Care-Manager Certification This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base… more