- Humana (Bradenton, FL)
- …6 years of Health Services/Case Management Experience + Prior experience with Medicare & Medicaid recipients + Intermediate to advanced computer skills and ... 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
- CVS Health (Tallahassee, FL)
- …for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements ... partners + Educates internal and external parties as needed to ensure compliance with contract terms and expectations + Influence and/or assist workflow development… more
- Aveanna Healthcare (Bronson, FL)
- …- Friday weekly Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. + ... application + Valid CPR and drivers license Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Aveanna Healthcare (Gainesville, FL)
- …of care and performs home visits as needed. * Ensures client compliance with federal/state regulations through policy and procedure administration to staff. * ... maintain active CPR per agency policy. Preferred: * Bachelor's degree preferred * Medicare Skilled Nursing experience and a basic understanding of OASIS * 3+ years… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …FWA activity + Develop strategies to mitigate fraud risk and ensuring compliance with regulatory requirements + Maintain process integrity and ensure legitimate ... + Minimum of 5 years of FWA, healthcare and/or Medicare Advantage experience + Strong knowledge of Medicare... Medicare Advantage experience + Strong knowledge of Medicare Advantage, CMS and AHCA regulatory requirements + Expertise… more
- Aveanna Healthcare (Jacksonville, FL)
- …+ Collaborate with the operations and business development team. + Ensure compliance with State, Federal, Local, and Aveanna policies and procedures. Qualifications ... to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related… more
- Humana (Tallahassee, FL)
- …fast-paced, dynamic environment and manage multiple priorities effectively. + Medicare experience and or license credentials **Additional Information** **Humana ... 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
- TEKsystems (Orlando, FL)
- …in a professional and timely manner + Provide accurate information regarding Medicare , insurance, and health plans + Resolve issues efficiently while maintaining a ... Document all customer interactions in the service database + Adhere to compliance standards and internal policies + Demonstrate accountability and active listening… more
- Evolent (Tallahassee, FL)
- …+ Participates in on-going training programs to ensure quality performance in compliance with applicable standards and regulations. **The Experience You'll Need:** + ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action… more
- Aveanna Healthcare (Fort Myers, FL)
- …work-life balance Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. * ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more