- ChenMed (Orlando, FL)
- …pharmacy technicians in the operation of the pharmacy systems and ensures compliance to the company's policies and procedures. Employees models and delivers the ... quality improvement. + Follows all applicable government regulations including HIPAA, Medicare and Co-pay requirements. + Engages patients by offering assistance,… more
- AdventHealth (Oviedo, FL)
- …Occupational Therapist (OT), under the general supervision of the Care Manager , provides occupational therapy to assigned patients and directs therapy assistants ... evaluates total patient care and coordinates patient/family teaching. Assures compliance with therapy standards, federal, state, and local government regulations,… more
- CenterWell (Tallahassee, FL)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (North Bay Village, FL)
- …and recreational activities + Health Plan experience, including Medicare /Medicaid + Electronic Medical Record (ECW) knowledge/experience **Additional Information:** ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …payor verification * Verify insurance and Medicaid coverage * Handle Dual Coverage, Medicare Part D, and Commercial Plans related to Long-Term Care * Address ... summaries * Assist residents with account balances * Ensure compliance with HIPAA and other regulations * Adhere to...* Perform additional duties as assigned by the Billing Manager Qualifications QUALIFICATIONS * High school diploma or equivalent… more
- CenterWell (Tallahassee, FL)
- …will be responsible for supporting Patient Safety analytics on the Medicare population. Duties will include reviewing technical specifications from multiple agencies ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Prime Therapeutics (Tallahassee, FL)
- …Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements ... resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments within project + Educate and advance… more
- Elevance Health (Miami, FL)
- …pharmacists. + Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; informs relevant parties of all ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- CenterWell (Tallahassee, FL)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Tallahassee, FL)
- …or Bachelor's degree in a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual is a ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more