- Molina Healthcare (Orlando, FL)
- …cases, business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business ... needs and translate them into application and operational requirements + Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate… more
- Centene Corporation (Tallahassee, FL)
- …all policies and procedures pertaining to: + Disclosures and provisions of the Advantage Medicare product + Enrollment and disenrollment + Develop a presence in ... access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings.… more
- BayCare Health System (Clearwater, FL)
- …pass required background checks. **Experience:** + Required Sales experience; preferred one Medicare Annual Enrollment Period (AEP) season. **To Learn more about ... Plans and be responsible for prospecting and selling BayCarePlus Medicare Advantage plans to our Medicare community....January through April and every weekend during the Annual Enrollment Period (Oct - Dec). **On Call:** No How… more
- MyFlorida (Tallahassee, FL)
- …People First manual letter review and approval process. + Assists with processing Medicare Enrollment Verifications. + Provides backup support for Open ... direct member and customer service support regarding eligibility and enrollment . This position is critical to ensure that all...limited to section 125 of the IRS code, COBRA, Medicare , ACA, and HIPAA, etc. + Knowledge of the… more
- Molina Healthcare (Miami, FL)
- …management experience of 5 years or more + 5 years of experience in Medicare , DSNP and CSNP population, Enrollment , A&G, Claims, Compliance, or other Operations ... experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity… more
- Molina Healthcare (St. Petersburg, FL)
- …equivalent combination of education and experience **Required Experience** 5-7 years Enrollment -related experience in Managed care or Medicare setting ... or equivalent combination of education and experience **Preferred Experience** 7-9 years Enrollment -related experience in Managed care or Medicare setting To all… more
- Healthfirst (FL)
- **Duties and Responsibilities:** + Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and ... integrity and address discrepancies related to member eligibility and enrollment . + Manage premium billing cycles, invoice generation, and...and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP… more
- Molina Healthcare (St. Petersburg, FL)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid. This position will provide direct support to the implementation… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages the ... coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership...include but are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims. + Ensures… more
- Molina Healthcare (Tampa, FL)
- …follow, and you keep complaint data synchronized across appeals & grievances, enrollment , claims, pharmacy, and quality functions. You surface systemic issues, steer ... Compliance Mastery * Track record coordinating cross-functional action plans with Enrollment , Claims, Pharmacy, Network, and Member Services * Hands-on experience… more