- Highmark Health (Tallahassee, FL)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Elevance Health (Tampa, FL)
- …an accommodation is granted as required by law. The **Actuarial Analyst III** supports Medicare Advantage pricing and bid development within the Medicare ... Actuarial team. **How You Will Make an Impact:** Primary duties may include, but are not limited to: + Benefit Ownership: Manage assigned pricing models and benefits, ensuring data accuracy, methodology consistency, and timely bid filing readiness. + Contract… more
- Humana (Tallahassee, FL)
- …+ **Industry Knowledge** : Familiarity with the healthcare sector, specifically Medicare Advantage , and an understanding of regulatory frameworks and ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- ChenMed (Orlando, FL)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... be America's leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary… more
- CenterWell (Tallahassee, FL)
- …PCO has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... primary care combined with an excellent patient experience. At PCO we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their… more
- ChenMed (North Lauderdale, FL)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... + CPR for Healthcare Providers is preferred **PAY RANGE:** $17.0 - $24.26 Hourly The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not… more
- ChenMed (Miami, FL)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... be America's leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary… more
- Datavant (Tallahassee, FL)
- …teams to improve productivity and quality.** + Run various risk adjustment models for Medicare Advantage , Medicaid or ACA to forecast patient risk scores and ... return on investment based on historical data and project variables + Work closely with cross-functional teams, including clients, to understand business needs, and determine the right methodology for analysis and assumptions to provide data-driven insights… more
- Elevance Health (Tampa, FL)
- …of Professional Coders or Practice Management Institute). + Experience working with Medicare Advantage and Medicaid preferred. + Experience with ICD-10 coding, ... CPT and CPTII a plus. + HCC coding preferred. + CPC or CRC Certification is needed for this position. + Familiarity with electronic indexes is highly preferred. + Experience with telehealth visits is preferred. Please be advised that Elevance Health only… more
- CenterWell (Tampa, FL)
- …manner **Preferred Qualifications** + Experience in value-based primary care or Medicare Advantage + Familiarity with EMR optimization and documentation ... workflows + Background in adult education or program delivery + Experience in large, multi-site healthcare organizations **Additional Information** + Remote role + Weekly travel to The Villages; anticipating up to 50% of the time in the first year + Targeting… more