- Humana (Tallahassee, FL)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... + MD or DO degree + **Must be board certified in Psychiatry** + 5+ years of direct clinical...an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing… more
- Humana (Tallahassee, FL)
- …license, as required, for various states in region of assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family Practice, ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
- Molina Healthcare (St. Petersburg, FL)
- …speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is ... Qualifications** + Supervisory/Leadership experience. + Pharmacy Tech experience. + Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license… more
- Molina Healthcare (Orlando, FL)
- …business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business needs and ... + SQL and advanced Excel **Preferred License, Certification, Association** Certified Business Analysis Professional (CBAP), Certification from International Institute… more
- Molina Healthcare (Orlando, FL)
- …QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in Medicine * Board Certified or eligible in a primary care specialty **REQUIRED EXPERIENCE/KNOWLEDGE, ... License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare… more
- AdventHealth (Port Orange, FL)
- …in healthcare. + Active American Heart Association BLS **Preferred qualifications:** + Certified by the American College of Medicare Practice Executives (ACMPE) ... + Certified by Certified Medical Office Manager (CMOM) This facility is an equal opportunity employer and complies with federal, state and local… more
- Walmart (Orlando, FL)
- **Position Summary ** **What you'll do ** We are hiring Certified Pharmacy Technicians for our Orlando, Florida location. The candidate must meet state requirements ... to work as a Certified Pharmacy Technician, such as minimum age, qualification, registration,...a safe and clean work environment. + Complies with Medicare and Medicaid policies and procedures by implementing and… more
- Bluestone Physician Services (Tampa, FL)
- …in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured ... risk patients Qualifications : Education/Certification/Experience + Licensed Practical Nurse or Certified Community Health Worker + 3-5 years of experience in… more
- Molina Healthcare (St. Petersburg, FL)
- …MTM Pharmacy Services staff work to ensure that Molina members have access to Medicare Star medications and those meds are used in a cost-effective, safe manner. ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing… more
- National Health Transport (Miami, FL)
- …High School Graduate/GED + Medical coding training and experience + Familiar with Medicare /Medicaid laws and billing + Certified Ambulance Coder helpful + ... Ambulance Industry experience helpful Compensation: $15.00 - $18.50 hourly Required Shifts/Schedule: Hours must be flexible to meet the demands of the office, but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote. Note: This… more