- AmeriHealth Caritas (Miami, FL)
- …working with providers. + 3 to 5 years of experience in the managed care/ health insurance industry. + Medicare , Medicaid, Commercial, or ACA Exchange ... internal departments. **Licensure:** + Must have a valid driver's license and car insurance .; ; As a company, we support internal diversity through: Recruiting. We… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare ... 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Stars Enterprise Activation Principal coordinates, implements, and manages oversight of ... the company's Medicare /Medicaid Stars Program for aligned areas. The Stars Improvement...role is responsible for supporting the Stars strategy within Insurance Operations, serving as a subject matter expert for… more
- ABBTECH Professional Resources, Inc. (Tallahassee, FL)
- …working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance /heath care experience * * Experience working with data and ... requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business Analyst… more
- Humana (Tallahassee, FL)
- …us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Tallahassee, FL)
- …team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate ... TN area or be willing to relocate** + **Active Health & Life Insurance Licenses** + 2...Qualifications** + Bachelor's Degree + Prior experience working in Medicare and the health solutions industry +… more
- HCA Healthcare (Melbourne, FL)
- …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) ... our colleagues in their positions. Join our Team as a(an) Clinical Manager Home Health and access programs to assist with every stage of your career. **Benefits**… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Home Health Quality Assurance Manager is responsible for leading the development, ... Improvement (QAPI) Program to ensure the delivery of high-quality, compliant home health services. This role sets the quality strategy, designs audit frameworks,… more
- Humana (Miramar, FL)
- …4 years of healthcare quality experience, with strong knowledge of CMS Home Health regulations and Medicare Conditions of Participation. + Familiarity with OASIS ... part of our caring community and help us put health first** The Home Health Quality Auditor...ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare Conditions of Participation. This role audits Start of… more
- Humana (Tallahassee, FL)
- …us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , SNF, DME, dual Medicare ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
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