- CVS Health (FL)
- …processes, procedures, and systems to ensure consistent results and organizational compliance with regulations related to the organization's Medicare Part ... with heart, each and every day. As the Senior Manager , Aetna Medical Pharmacy, you will be accountable for...business projects and programs and managing operations within the Medicare Part B Pharmacy Team. You will act as… more
- Humana (Miami Lakes, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
- AdventHealth (Maitland, FL)
- **Account Representative Manager Billing/Collections/Denials -AdventHealth** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at ... local and industry standards, guidelines, rules and regulations to ensure compliance . + Manages department team members by providing application assistance and… more
- Molina Healthcare (St. Petersburg, FL)
- …business areas and owners to ensure processes and reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with ... to assess, oversee, and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and… more
- Cardinal Health (Tallahassee, FL)
- …of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is ... **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & ...facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines;… more
- Humana (Tallahassee, FL)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- BAYADA Home Health Care (Jacksonville, FL)
- …clinicians in delivering Medicare -certified home health services. The Nurse Manager is also responsible for ensuring regulatory compliance , promoting ... Registered Nurse (RN) to fill the position of **Nurse Manager ** for our Jacksonville, FL Medicare Certified,...to field RNs, LPNs, and clinical staff + Ensure compliance with Medicare Conditions of Participation (CoPs),… more
- Elevance Health (FL)
- …of managerial experience is strongly preferred + Experience with IRE/Maximus and Medicare compliance , programs, guidelines, and processes are strongly preferred. ... ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:**...and operational and plan risk, ensures quality, and regulatory compliance . This role specifically oversees the IRE Team. **How… more
- AdventHealth (Kissimmee, FL)
- …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... and Imaging services. **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent and abusive ... practices. The Manager , Fraud and Waste works within specific guidelines and...+ Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more