- ChenMed (Largo, FL)
- …role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- ChenMed (Orlando, FL)
- …that works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- Deloitte (Jacksonville, FL)
- …+ 2+ years of health actuary experience and consulting and/or health plan/ insurance company experience + 1+ year(s) of experience with Medicaid managed care ... individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or ...including value based care/ACO modeling + Knowledge of group insurance products including disability, long term care, etc. The… more
- Humana (Miramar, FL)
- …Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare Conditions of Participation. This role audits Start of Care, ... quality experience, with strong knowledge of CMS Home Health regulations and Medicare Conditions of Participation. + Familiarity with OASIS requirements and home… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- …Salary: $65,000.00 - $85,000.00 per year Position Details Similar experience with Medicare Home Health and OASIS is needed. Position Overview: TheRegistered Nurse - ... company match + Health, dental, vision, life, and pet insurance + Mileage reimbursement and cell phone allowance +...the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis… more
- Molina Healthcare (Tampa, FL)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid/ Medicare /Marketplace health coverage audit policies and be able to apply them in ... data from all types of healthcare providers that bill Medicaid/ Medicare /Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators are managing their cases… more
- Cognizant (St. Johns, FL)
- …10 to 12 years of expertise in FileNet P8 technologies and domain skills in Medicare and Medicaid Claims. The candidate will play a crucial role in designing and ... benefits for this position, subject to applicable eligibility requirements: Medical/Dental/Vision/Life Insurance * Paid holidays plus Paid Time Off * 401(k) plan… more
- CenterWell (Jacksonville, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... environment in a value-based relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality...salary + bonus + Excellent benefit package - **_health insurance effective on your first day of employment_** +… more
- CenterWell (Middleburg, FL)
- …two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality.... Minimal Call . Comprehensive benefits package - _health insurance is effective on your first day of employment_… more
- Sedgwick (Tallahassee, FL)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are you skilled in **coverage determination** ,… more