- Molina Healthcare (Jacksonville, FL)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible ... program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with… more
- Molina Healthcare (Miami, FL)
- …and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + Other tasks, duties, ... Health or Healthcare. **Preferred Experience** 1 year of experience in Medicare and in Medicaid. **Preferred License, Certification, Association** + Certified… more
- AdventHealth (Davenport, FL)
- …agent, implementing necessary changes in collaboration with the Manager/ Director , and maintaining respectful relationships with patients, families, colleagues, ... on the delivery of patient care services, including but not limited to Medicare , Managed care, Medicaid, third party providers, challenges to current health care… more
- Bluestone Physician Services (Sarasota, FL)
- …in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured ... coordinate future business with internal resources. This position reports to the Business Director and works collaboratively with their peers to expand the brand in… more
- CenterWell (Pompano Beach, FL)
- …expertise with the care team through daily huddles. . Helps regional medical director and center administrator in setting a tone of cooperation in practice by ... become certified (ABMS or AOA) in pediatrics. Active and unrestricted DEA license . Medicare Provider Number or Medicaid, whichever is needed. Minimum of two to five… more
- ChenMed (Pembroke Pines, FL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... health care professionals. Consults with the manager, physician, and medical director to ensure compliance with guidelines. This position may require participation… more
- AdventHealth (Daytona Beach, FL)
- …Beach, 32117 **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of ... healthcare team. This includes quarterly and annual compliance updates from Medicare . **The expertise and experiences you'll need to succeed:** **Minimum… more
- AdventHealth (Lake Wales, FL)
- …ANM is a registered professional nurse who supports the Nurse Manager or Director in overall operations of their assigned unit.Is able to demonstrate critical ... on the delivery of patient care services, including but not limited to Medicare , Managed care, Medicaid, third party providers, challenges to current health care… more
- AdventHealth (Tampa, FL)
- …Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision ... responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation… more
- AdventHealth (Tampa, FL)
- …Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision ... responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation… more