- Cardinal Health (Tallahassee, FL)
- **What Ethics & Compliance contributes to Cardinal Health** Ethics & Compliance promotes a culture that encourages ethical conduct and a commitment to ... compliance . This function implements strategies and processes to ensure...executing audit plans. + Expert-level knowledge and application of Medicare /Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation… more
- Harmony United Psychiatric Care (Winter Garden, FL)
- …and administrative bodies. + Provide legal advice on healthcare management, compliance with federal healthcare laws (eg, HIPAA, Medicare /Medicaid regulations), ... Harmony United Psychiatric Care Job Title: Inhouse Counsel / Manager Legal, Compliance & Risk Management / Outpatient Clinics / Full-time Employment / Winter… more
- Baylor Scott & White Health (Tallahassee, FL)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. **SALARY** The pay range for… more
- Highmark Health (Tallahassee, FL)
- …:** **JOB SUMMARY** This job partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or ... trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance related processes. + Monitor governance and compliance of… more
- Humana (Tallahassee, FL)
- …and Health Insurance License required + Bilingual + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Tallahassee, FL)
- …health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve ... data requires a case by case consideration of the Medicare rules, Humana policies and medical necessity. The Medical...policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included… more
- Humana (Tallahassee, FL)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work occurs… more
- Fresenius Medical Center (Jacksonville, FL)
- …core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL ... options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). +… more
- Humana (Tallahassee, FL)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Tallahassee, FL)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more