- 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
- Humana (Miami, FL)
- …6 years of Health Services/Case Management Experience + Prior experience with Medicare & Medicaid recipients + Intermediate to advanced computer skills and ... a valid state driver's license and proof of personal vehicle liability insurance + Ability to work Monday-Friday 8:30am-5:00pm **Preferred Qualifications** + Prior… more
- ChenMed (Winter Park, FL)
- …talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Start cultivateing strong relationships ... with health plan agents, individual insurance agents, social workers, case workers, senior housing managers,...seniors a plus, as is a general understanding of Medicare Advantage + A minimum of 2 years of… more
- Humana (Tallahassee, FL)
- …+ Accounting/Finance knowledge/experience + Advanced SQL or similar + Medicare /Medicaid experience + Data architecture/solution architecture experience + Project ... with Service Ops (claims, B&E, etc. **Preferred Qualifications** + Health insurance operations expertise + Value based provider arrangement experience + Certified… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability | Remote **PRIMARY PURPOSE** : To analyze complex or ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- HCA Healthcare (Largo, FL)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... + Reliable transportation and proof of valid automobile liability insurance + Must have valid driver's license + Current...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- USAA (Tampa, FL)
- …a keen focus on financial risks associated with health products, especially Medicare Supplement offerings. This position is essential for safeguarding the integrity ... development, implementation, ongoing monitoring, and use in areas of Banking and Insurance (Property & Casualty and Life) along with their corresponding business… more
- Humana (Tallahassee, FL)
- …at Humana is a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are ... + **Industry Knowledge** : Familiarity with the healthcare sector, specifically Medicare Advantage, and an understanding of regulatory frameworks and market… more