- Elevance Health (Tampa, FL)
- …Alternate locations may be considered. This position will work a hybrid model ( remote and office). The ideal candidate will live within a commutable distance from ... end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare / Medicaid regulatory policies regarding FFS and zero-dollar claims. **How you… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... a Specialty Pharmacy setting + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or...in managed care **Additional Information** + This is a remote position however all candidates must reside in Ohio,… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... the delivery of home health services preferred + Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred + Demonstrated… more
- Humana (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits , and opportunities to grow yourself and your career. We proudly employ… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... consumer experiences **Preferred Qualifications** + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid… more
- Humana (Tallahassee, FL)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... for future budget forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where necessary. + Research and… more
- Molina Healthcare (FL)
- …who must Compact RN Licensure._ _Case Manager RN will work in remote setting supporting our Medicare /Medicaid population who have recently been admitted into ... Hospital. The Case Manager will support our members to ensure successful transition...and/or home health experience._ _This role is currently 100% remote (Can sit anywhere within the United States)_ _Home… more
- Trinity Health (Fort Lauderdale, FL)
- …charge errors accordingly. Epic experience desired. **Position Highlights and Benefits :** + Comprehensive benefit packages available, including medical, ... Full time **Shift:** Day Shift **Description:** Summary This is a M-F, 8a-5p remote position that requires certification. For the Holy Cross Medical Group this… more
- Humana (Tallahassee, FL)
- …life. Just to name a few: * Work-Life Balance * Generous PTO package * Health benefits effective day 1 * Annual Incentive Plan * 401K - * Well-being program * Paid ... application at Humana's secure website. + Position reports to Manager , Technology Solutions, IT HPE - Digital Channels &...for additional questions. You have 48 hours to respond. \#LI- Remote Travel: While this is a remote … more
- Humana (Tallahassee, FL)
- …researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience ... government agency + Intermediate Microsoft Access skills **Additional Information** This role is " remote /work at home" and can be based anywhere in the United States… more