- Humana (Fort Lauderdale, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... public speaking and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional Information** Work at home...help people with Medicare , or both Medicare and Medicaid, achieve… more
- Highmark Health (Tallahassee, FL)
- …knowledge to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. ... as required. **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing… more
- CVS Health (Tallahassee, FL)
- …Home** **(Aetna Medicare Pharmacy Technician)** **BUSINESS JUSTIFICATION:** Aetna Medicare Advantage members' adherence to select maintenance medications ... informs health plans' Medicare Stars quality rating and may lead to better...include but are not limited to: * Outreach to Medicare members regarding their medication adherence and offering assistance… more
- Robert Half Accountemps (Land O' Lakes, FL)
- …on managing accounts receivable for various secondary insurance balances, including Commercial, Medicare Advantage , Blue Cross, Workers Comp, Auto, and other ... patient billing processes. * Familiarity with secondary insurance payers, including Commercial, Medicare Advantage , and Workers Comp. * Ability to handle claim… more
- Humana (Tallahassee, FL)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience… more
- Humana (Tallahassee, FL)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... filing, reporting & analysis, reserving or trending) **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience working… more
- CenterWell (Orange Park, FL)
- …(EMR, email, etc.). **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid ... provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines.… more
- ChenMed (Orlando, FL)
- …+ Direct-to-patient sales and marketing experience preferred. + Experience within the Medicare Advantage population strongly preferred. Experience working for a ... as Salesforce, DASH, and Availity. + Eligibility criteria in terms of Medicare , Medicaid, Low-Income Subsidies, and Special Enrollment Periods. + Organizes MGC… more
- CenterWell (Weston, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum...in a value based relationship environment . Knowledge of Medicare guidelines and coverage . Bilingual is a plus… more
- CenterWell (West Palm Beach, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... care environment in a value based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators **Additional… more