- 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)
- …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
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …sales goals as established by Sales Ops management. + Adhere to phone activity/ compliance standards to include Medicare guidelines, HIPAA, ACW, and minimum call ... 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)
- …directly to the Regional Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market Financial, ... Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement internally +… more
- Humana (Tallahassee, FL)
- …the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to ... and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree + 5+… more
- CenterWell (Jacksonville, FL)
- …on-call rotation and support growth initiatives at your center. + Ensure compliance with all licensing and accreditation requirements. **What We're Looking For** ... **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Tallahassee, FL)
- …the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating insurance ... a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- AdventHealth (Orlando, FL)
- …Responsibility Program across the Hospital System while ensuring compliance with governmental requirements. + Audit/investigate corporate responsibility problems, ... customers/agencies. + Write/review audit programs, supervise staff, and conduct compliance and privacy audits that support the Hospitals corporate responsibility… more
- Molina Healthcare (Orlando, FL)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- CenterWell (New Port Richey, FL)
- …"on-call" program of Conviva Senior Primary Care. + Assures personal compliance with licensing, certification, and accrediting bodies. **Required Qualifications** + ... a plus + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more