- Humana (Tallahassee, FL)
- …Ability to use data to drive business outcomes and decisions + Experience in Medicare /Medicaid, CMS (Centers for Medicare & Medicaid Services) or other Federally ... recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years....the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Tallahassee, FL)
- …service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include national clinical ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… 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 ... teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage, and Medicaid requirements and will understand… more
- Humana (Tallahassee, FL)
- …at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical ... teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will understand… more
- Humana (Fort Lauderdale, FL)
- …tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. + Participate in cross-functional teams ... Experience with public speaking and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional Information** Work at home - with… more
- Help at Home (Winter Park, FL)
- … compliance with federal, state, and local regulations, including Medicare Conditions of Participation where applicable, with responsibility for documentation ... for all nursing services, supervision of home health aides, and ensuring compliance with AHCA licensure standards. This role leads and oversees all clinical… more
- Humana (Tallahassee, FL)
- …and relationship builder, ensuring alignment with Humana's mission and Medicare Advantage goals. **Primary Responsibilities:** Clinical Engagement & Provider ... recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years....the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …through detailed call scheduling and timely follow up + Adhere to phone activity/ compliance standards to include Medicare guidelines, HIPAA, ACW, and minimum ... required to follow any other job-related duties requested by their supervisor in compliance with Federal and State Laws. At BD, we prioritize on-site collaboration… more
- Humana (Tallahassee, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help ... people with Medicare , or both Medicare and Medicaid, achieve...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Pharmacy Technician, Aetna Medicare - Work From Home** **(Aetna Medicare Pharmacy Technician)** **BUSINESS ... Advantage members' adherence to select maintenance medications informs health plans' Medicare Stars quality rating and may lead to better health outcomes.… more