- CVS Health (Tallahassee, FL)
- …metrics, implementing process improvements as needed. + Ensure compliance with all Medicare regulations and CVS Health policies. + Collaborate with ... At CVS Health , we're building a world of health...Clinical Reimbursement Specialists, ensuring accurate and timely qualification of Medicare patients and Medicare appeals. This role… more
- CVS Health (Tallahassee, FL)
- …experience of selling multiple Medicare products (ie, Medicare Advantage, Medicare Supplement)_ + _Life & Health insurance license is not required to ... At CVS Health , we're building a world of health...and retain through the use of the Aetna IVL Medicare product portfolio.This role will deploy an operating model… more
- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. **Pharmacy Technician, Aetna Medicare - Work From Home ** **(Aetna Medicare Pharmacy Technician)** **BUSINESS ... Aetna Medicare Advantage members' adherence to select maintenance medications informs health plans' Medicare Stars quality rating and may lead to better… more
- Humana (Tallahassee, FL)
- …focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** CMS Programs Quality Strategy Lead will support Humana through successful participation in ... CMS/CMMI (Centers for Medicare and Medicaid Innovation) Multi-Payor and Accountable Care Initiatives....Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + Flex Spending Accounts + Life… more
- Humana (Tallahassee, FL)
- …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation). ... experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health ...participate on project teams or organizational committees. **Work at Home Guidance** To ensure Home or Hybrid… more
- Humana (Tallahassee, FL)
- … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid...help people with Medicare , or both Medicare and Medicaid, achieve their best possible health… more
- BayCare Health System (Clearwater, FL)
- …Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With ... This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare… more
- Elevance Health (Tampa, FL)
- …the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to ... maximize their health , independence, and quality of life through home -care and community based services. The **Clinical Document Improvement Director** is… more
- Humana (Hallandale Beach, FL)
- **Become a part of our caring community and help us put health first** Are you a transitioning military service member or a Military Spouse looking for an internship ... that supports the goal to put health first? During the period of this unpaid internship,...for a period up to 11 weeks. + **Workstyle:** Home . Home workstyle is defined as remote… more