- CVS Health (Tallahassee, FL)
- …Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or ... equivalent experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the… more
- Molina Healthcare (Orlando, FL)
- …etc. **PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare , Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is ... generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.… more
- Centene Corporation (Tallahassee, FL)
- …landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range: $68,700 -123,700 annual Centene offers a ... comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will… more
- Molina Healthcare (Jacksonville, FL)
- …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience is ... highly preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience**… more
- Convey Health Solutions (Fort Lauderdale, FL)
- Job Description The Membership Accounting Analyst is responsible for the timely and accurate resolution of discrepancies identified in the Enrollment, Billing and/or ... Reconciliation processes. The analyst will review documentation, work items in queues and...disenrollment forms for correction and submission to Centers for Medicare & Medicaid Services (CMS) + Review and complete… more
- Molina Healthcare (FL)
- …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
- HCA Healthcare (Pensacola, FL)
- …to accounts. Communicates any charge related issues to Charge Master Manager/ Analyst . + Works all identified insurance requirement edits through the electronic ... alert and comp census reports daily. + Work the Medicare 72 hour and Medicaid 24 hour reports to...+ Transfer charges when appropriate. + Work all related Medicare APC edits that appear on the bill alert… more
- Banner Health (FL)
- …treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more