- Prime Therapeutics (Tallahassee, FL)
- …Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** + ... Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- Molina Healthcare (Orlando, FL)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... QUALIFICATIONS** **REQUIRED EDUCATION:** + Doctorate Degree in Medicine + Board Certified in a primary care specialty **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS &… more
- CenterWell (Loxahatchee, FL)
- …Bilingual in Spanish and English . Board certification or eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine ... preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five...five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best… more
- CenterWell (Weston, FL)
- …for TB **Preferred Qualifications:** . Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine ... preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five years directly applicable experience… more
- AdventHealth (Maitland, FL)
- …Senior Compliance Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid, Tricare) payer reimbursement language and methodologies. The Senior ... + Facilitate resolution to contract violations by leveraging knowledge of Medicare Advantage plans regulatory requirements and Medicare Advantage Appeal… more
- CenterWell (Apopka, FL)
- …for TB **Preferred Qualifications:** . Board certification or eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine ... preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five...five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best… more
- Banner Health (FL)
- …place to work and receive care. We are looking for a motivated, experienced ** Certified Medical Coder | Physician Practice Complex Coder with 3+ years of Cardiology ... Surgical Cardiology) to join our talented team. This position does require ** Certified Professional Coder (CPC) in active status** (this position requires more than… more
- Humana (Tallahassee, FL)
- …skills to make an impact** **Required Qualifications** + AHIMA or AAPC CPC ( Certified Professional Coder) Certification + 4 or more years of medical coding ... with coding guidelines **Preferred Qualifications** + Bachelor's Degree + CRC - Certified Risk Adjustment Coder + Experience interacting with healthcare providers +… more
- Molina Healthcare (FL)
- …and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and Marketplace lines of business. + PMP, Certified… more
- CVS Health (Tallahassee, FL)
- …to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... job experience equal to approximately 1-2 years for CPC. + CPC ( Certified Professional Coder) or CCS-P ( Certified Coding Specialist-Physician) required.… more