- Lundbeck (Ocala, FL)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION,… more
- Verdantas (Tampa, FL)
- …including thoughtfully sunsetting systems with minimal disruption to employees. + Ensure Compliance with Care + Own ACA compliance processes including ... preparation, and filings. + Prepare and submit PECORI fees, Medicare Part D notices, and Gag Clause Prohibition Attestation...3+ years of experience in benefits administration or HR compliance . + Strong understanding of ACA, ERISA, and other… more
- Lundbeck (Ocala, FL)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ... ** - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. **REQUIRED EDUCATION,… more
- Lundbeck (Miami, FL)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ... ** - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. **REQUIRED EDUCATION,… more
- Elevance Health (FL)
- …of managerial experience is strongly preferred + Experience with IRE/Maximus and Medicare compliance , programs, guidelines, and processes are strongly preferred. ... and operational and plan risk, ensures quality, and regulatory compliance . This role specifically oversees the IRE Team. **How...regulated audits. + Oversight of the IRE portions of Medicare audits and universe production. + Serves as a… more
- AdventHealth (Daytona Beach, FL)
- …and support as needed. **The value you'll bring to the team:** + Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as ... needed. + Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans. + Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical… more
- Sedgwick (Orlando, FL)
- …and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, ... SIR's, carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills +… more
- Humana (Miami Lakes, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Prime Therapeutics (Tallahassee, FL)
- …analytical skills **Preferred Qualifications** + PBM/health care experience related to Medicare , Medicaid, Commercial, HIM + Certified Compliance and Ethics ... passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** The Senior… more
- CVS Health (Tallahassee, FL)
- …talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team ... who will focus on educating existing Medicare members on available plan offerings to help meet...selling applicable products to existing members. + Maintaining high compliance commitment and standards with a robust knowledge with… more
