• Medical Director - NorthEast Region

    Humana (Tallahassee, FL)
    …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 ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical… more
    Humana (07/25/25)
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  • Contract & Grants Analyst 1 - Hybrid/Remote

    University of Miami (Coral Gables, FL)
    …of Miami. CORE JOB SUMMARY The Contracts and Grants Analyst 1 ( Medicare Billing Coding & Financial) works independently to review internally and externally ... including agreements and proposals, as required for development of Medicare Coverage Analysis (MCA), facilitating research billing, financial compliance and… more
    University of Miami (07/23/25)
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  • Customer Service Performance Manager

    WTW (Tampa, FL)
    …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... + Previous work in telemarketing or call center settings. + Knowledge of Medicare Advantage, Medicare Supplement, Life Insurance, Prescription Drug Products and… more
    WTW (07/08/25)
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  • Provider Enrollment Specialist

    Intermountain Health (Tallahassee, FL)
    …+ Coordinates all aspects of provider enrollment with commercial and government ( Medicare and Medicaid) professional fee payer contracts for an entire market. ... aspects of provider enrollment with Intermountain Health's commercial and government ( Medicare and Medicaid) professional fee payer contracts for an entire market.… more
    Intermountain Health (08/24/25)
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  • Home Health Registered Nurse RN Full Time

    Aveanna Healthcare (Fort Lauderdale, FL)
    …Nursing Salary: $31.00 - $41.00 per hour Position Details Similar experience with Medicare Home Health and OASIS is needed. Position Overview: TheRegistered Nurse - ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...in a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/24/25)
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  • Float NP/PA

    CenterWell (Daytona Beach, FL)
    …for TB **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare ... coordinated care environment in a value-based relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators +… more
    CenterWell (08/23/25)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare /Medicaid criteria and Health Plan policies to ensure the referral meets all ... Office technical experience with Word, Outlook, and Excel + Knowledge of Medicare /Medicaid & commercial insurance + Must be passionate about contributing to an… more
    Humana (08/23/25)
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  • Referral Coordinator

    ChenMed (Jacksonville, FL)
    …understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to ... + An understanding of the company's patient population, including the complexities of Medicare programs + Detail-oriented with the ability to multi-task. + Able to… more
    ChenMed (08/23/25)
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  • Nurse Practitioner

    CenterWell (Port Saint Lucie, FL)
    …for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare ... care environment in a value based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Use your… more
    CenterWell (08/23/25)
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  • Lead Product Manager - Dual Population

    Humana (Tallahassee, FL)
    …best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various multi-disciplinary ... our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/23/25)
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