- CenterWell (Jacksonville, 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
- Humana (Tallahassee, FL)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... + Master's Degree + HEDIS Controlling Blood Pressure measure experience + Medicare Stars experience **Additional Information** As part of our hiring process for… more
- Humana (Tallahassee, FL)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... insights **Preferred Qualifications** + Master's Degree + HEDIS experience/knowledge + Medicare Stars experience **Additional Information** As part of our hiring… more
- CenterWell (Deerfield Beach, 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
- Molina Healthcare (Jacksonville, FL)
- …and oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage , ACA, and Medicaid lines of business. This role has ... in Director level role or above. + Extensive understanding of Medicare Advantage , ACA and Medicaid risk adjustment processes, including encounter data submission… more
- ChenMed (Miami, FL)
- …Care leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position ... Minimum of four (4) years of related experience + Experience in a Medicare Advantage , Hospital Systems and/or risk-based healthcare organization, preferred We're… more
- Datavant (Tallahassee, FL)
- …work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage , HHS (ACA), and other markets. + Provide guidance and make ... inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. +… more
- NASCO (Tallahassee, FL)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and ... counsel on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification… more
- CenterWell (Leesburg, FL)
- …+ Medicare Provider Number/ Medicaid Provider Number + 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
- Humana (Tallahassee, FL)
- …team and plays a critical part in forecasting risk scores and revenue for the Medicare Advantage Part D business. The successful candidate will lead efforts to ... FSA or plus relevant advanced degree + Experience with Medicare Part D + Familiarity with Risk Score Data...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
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