- Aveanna Healthcare (Fort Myers, FL)
- …Offerings: + 401(k) with company match + Health, dental, vision, life, and pet insurance + Mileage reimbursement and cell phone allowance + Generous PTO, sick time, ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Cardinal Health (Tallahassee, FL)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy … more
- CVS Health (FL)
- …healthcare as it should be'', providing personalized primary care for older adults on Medicare , with the goal of keeping patients healthy and living life to the ... Mission-focused career impacting change and measurably improving health outcomes for medicare patients + Paid vacation, sick time, and investment/retirement 401K… more
- Danaher Corporation (Orlando, FL)
- …of national, regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and ... diagnostics (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid) + Demonstrated and presentation skills It would be a plus… more
- University of Miami (Miami, FL)
- …related to pathology, laboratory, and state/ federal regulations. + Completes the Medicare Secondary Payer Questionnaire (MSPQ) at time of scheduling prior to ... services being rendered and in accordance with Centers for Medicare & Medicaid Services (CMS) Federal regulations, as needed. + Reviews and processes information… more
- CenterWell (Tallahassee, FL)
- …innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director ... with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare regulations, value-based care principles, and best practices for complex care… more
- AdventHealth (Altamonte Springs, FL)
- …physician and in compliance with regulations and standards identified by the Medicare Hospice Conditions of Participation, Florida Nurse Practice Act, and the ... accurately and safely. + Maintains accurate and thorough documentation per Medicare guidelines. **The expertise and experiences you'll need to succeed:** **Minimum… more
- Evolent (Tallahassee, FL)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Prime Therapeutics (Tallahassee, FL)
- …all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the ... to the plan + Provide clinical guidance and support for client's Health Insurance Marketplace business + Manage incoming requests for information from the plan… more
- Elevance Health (FL)
- …actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an Impact** Primary duties ... Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data-driven analyses… more