- AdventHealth (Altamonte Springs, FL)
- …relevant experience in healthcare finance, preferably in reimbursement including Medicare , Medicaid reimbursement and regulatory cost reporting Strong background in ... accounting and financial analysis Strong and proven leadership skills Expert in Medicaid program reimbursement laws and regulations Ability to research and interpret Medicaid laws and regulations Possesses a detailed understanding of governmental payment… more
- Molina Healthcare (Miami, FL)
- …successful launches of new processes, systems, and operational models across Medicaid, Medicare , and Marketplace lines of business. We are seeking a leader with ... proven experience in **launch planning, execution, and post-implementation stabilization** . **Key responsibilities include:** + Leading operational readiness efforts for new processes, systems, and operational initiatives across provider data and… more
- University of Miami (Miami, FL)
- …+ Performs other duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population preferred + ... Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical… more
- ChenMed (Jacksonville, FL)
- …runs referral team meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager. + Prepares Referral Team Meeting ... Minutes and send minutes to Operation Director , Market Medical Director , Market Network ...the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace +… more
- ChenMed (Orlando, FL)
- …for the region. He/She may provide interim leadership of MGCs during any Center Director transitions or vacancies in the region. The incumbent in this role does not ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides interim leadership support during Center Director transitions or vacancies for the performance of 6 to 12… more
- Guidehouse (Tampa, FL)
- …remote **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle ... services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject...commensurate with skills and experience as determined by the Director of Revenue Integrity. **What You Will Need** **:**… more
- ChenMed (Lakeland, 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 ... position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director … more
- HCA Healthcare (Gainesville, FL)
- …Scheduling** + **Confirms the patient's primary care insurance coverage is Medicare ** + **Schedules appointments within five days according to patient need ... + **Copies all insurance cards and verifies current coverage confirming that Medicare is the primary insurer.** + **Collects copies of all Advanced Directives… more
- Humana (Tallahassee, FL)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare… more
- CenterWell (Coral Springs, FL)
- …and lead with the care team through daily huddles. Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in ... certification to write prescriptions under the authority of a collaborating physician/medical director This role is considered patient facing and is a part of… more