- Humana (Tallahassee, FL)
- …o Interview skills and able to conduct a thorough investigation to maintain compliance with Humana and governmental requirements o Able to collaborate with internal ... and external partners (Law Enforcement, Legal, Compliance ). o Comfort with data analysis (Excel, Access, PowerBI),...Clinical Teams o Business areas for all product lines ( Medicare , Medicaid, Commercial) o Industry Trend areas **Use your… more
- CenterWell (Orlando, FL)
- …Curriculums. In this role, you'll blend your clinical expertise-especially in Medicare Risk Adjustment (MRA) and HCC coding-with instructional design skills to ... providers and care teams. You'll help providers document care accurately, support compliance , and drive quality outcomes in a value-based care environment. **Key… more
- University of Miami (Palm Beach Gardens, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- Elevance Health (Tampa, FL)
- …and provider information. + Administers credentialing and re-credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies ... re-credentialing of applications. + Tracks credentialing and re-credentialing to ensure compliance with time sensitive materials. + Maintains all pharmacy site… more
- CenterWell (Port Orange, FL)
- …local primary care "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in… more
- University of Miami (Miami, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- University of Miami (Miami, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- University of Miami (Boca Raton, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- University of Miami (Miami, FL)
- …as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population preferred + Completion of Medicare annual ... between patient care services and collaborative teams. + Ensures compliance with regulatory and maintains credentialing, competencies, and professional standards… more
- University of Miami (Palm Beach Gardens, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more