• Audit & Reimbursement Senior- Appeals

    Elevance Health (Miami, FL)
    Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract ... + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and experience which would… more
    Elevance Health (05/30/25)
    - Related Jobs
  • Audit & Reimbursement III- Appeals

    Elevance Health (Miami, FL)
    Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract ... a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and experience, which would… more
    Elevance Health (05/30/25)
    - Related Jobs
  • Audit & Reimbursement III (US)

    Elevance Health (Tampa, FL)
    …Requirements:** + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... ** Audit & Reimbursement III** **Location** : This role...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare more
    Elevance Health (05/22/25)
    - Related Jobs
  • Certified Pharmacy Technician, Specialty/Home…

    Walmart (Orlando, FL)
    …process Medicare orders to ensure compliance; and interpreting and documenting Medicare audit documents. + Ensures fulfillment of pharmacy prescriptions in a ... documentation; and maintaining a safe and clean work environment. + Complies with Medicare and Medicaid policies and procedures by implementing and adhering to rules… more
    Walmart (04/30/25)
    - Related Jobs
  • Audit & Reimbursement II (US)

    Elevance Health (Tampa, FL)
    Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II** will support our Medicare Administrative Contract ... ** Audit & Reimbursement II** **Location:** This role enables...(MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department… more
    Elevance Health (05/30/25)
    - Related Jobs
  • Audit and Compliance Supervisor - Patient…

    BayCare Health System (Clearwater, FL)
    … Fiscal Intermediaries) Equal Opportunity Employer Veterans/Disabled **Position** Audit and Compliance Supervisor - Patient Financial Services **Location** ... 8:00AM -4:00PM + **Days:** Monday through Friday, occasional weekends This Audit and Compliance Supervisor opportunity is a full-time position. This position… more
    BayCare Health System (03/04/25)
    - Related Jobs
  • RN - Prior Authorization-Concurrent

    Actalent (Sunrise, FL)
    …Quality improvement, data, audit , data abstraction, chart review, medical, quality audit , managed care, Medicare Work Environment: Remote Work Pay and ... Benefits The pay range for this position is $28.00 - $33.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan,… more
    Actalent (05/24/25)
    - Related Jobs
  • Compliance Manager - D-SNP Product

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …with our business partners, the State Medicaid Office and/or the Centers for Medicare and Medicaid Services (CMS). The Compliance Manager will work closely with ... Audits, monitors activities and provides training and clarification of Medicare requirements and other general processes (includes delegates). + Reviews… more
    DOCTORS HEALTHCARE PLANS, INC. (05/29/25)
    - Related Jobs
  • Director, Appeals & Grievances (Texas)

    Molina Healthcare (FL)
    …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
    Molina Healthcare (05/16/25)
    - Related Jobs
  • Product Communications Specialist II

    Centene Corporation (Tallahassee, FL)
    …Supports Senior Specialists and Managers with implementation of approved language updates and audit of such changes in Medicare materials. + Develops errata ... workplace flexibility. **Position Purpose:** Responsible for development and production of Medicare regulatory required materials to ensure compliance with State and… more
    Centene Corporation (05/17/25)
    - Related Jobs