- Zelis (St. Petersburg, FL)
- …revenue opportunities + Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs + Strong understanding of hospital ... coding and billing rules + Clinical and critical thinking skills to evaluate appropriate coding + Experience conducting root cause analysis and identifying solutions + Strong organization skills with attention to detail + Outstanding verbal and written… 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
- CenterWell (Casselberry, FL)
- …experiences **Preferred Qualifications** + Basic knowledge of Population Health Strategy + Medicare knowledge + Bachelor's Degree + Bilingual in both English and ... Spanish + Managed care experience + Value Based Care knowledge + Proven ability to function effectively in matrix management environment and as a member of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
- Aveanna Healthcare (Sumterville, FL)
- …Health Therapy and completion of OASIS documentation 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
- Molina Healthcare (FL)
- …various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for ... service, capitation and various forms of risk, ASO, etc. **PREFERRED EDUCATION** : Bachelor's Degree in a related field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : * 3+ years experience in managed healthcare… more
- Aveanna Healthcare (Okeechobee, FL)
- …Pathologist in an acute care setting preferred 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
- 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
- Aveanna Healthcare (Brooksville, FL)
- …Health Therapy and completion of OASIS documentation 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
- Cognizant (Tallahassee, FL)
- …UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare /Medicaid payment and coverage guidelines and regulations. + Must be able ... to work with minimal supervision. + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability… more
- Humana (Miramar, 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