- ChenMed (Jacksonville, FL)
- …that works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel ... payers strongly preferred. Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus. + CPR for Healthcare Providers is… more
- Centene Corporation (Tallahassee, FL)
- …health, and statistical modeling preferred **Quality:** Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred; Quality ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- Molina Healthcare (Miami, FL)
- …for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and ... * Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA). * Demonstrates professionalism in… more
- Evolent (Tallahassee, FL)
- …experience + 10+ years leading national oncology programs with deep regulatory expertise in Medicare , Medicaid, and Commercial + 5+ years as a national leader in the ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- ChenMed (Orlando, FL)
- …quality improvement. + Follows all applicable government regulations including HIPAA, Medicare and Co-pay requirements. + Engages patients by offering assistance, ... Process claims for 3rd party reimbursement efficiently and correctly to third-party insurance providers to obtain payment. + Earns and maintains certification and… more
- Centene Corporation (Tallahassee, FL)
- …and deliver consumer-focused insights that will improve enterprise Quality / Medicare Stars through customer engagement and satisfaction, health outcomes and health ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- Elevance Health (Sarasota, FL)
- …to obtain credentialing with major payors in the market including Medicare /Medicaid preferred. + Experience with IV insertion and maintenance strongly preferred. ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Aveanna Healthcare (Reddick, FL)
- …of residence + Current CPR certification + Valid driver's license, current car insurance and reliable transportation Preferred Qualifications: + At least 1 year of ... home health (OASIS), med surge, ER or hospice As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- AssistRx (Maitland, FL)
- …and management of third-party audits. + Verifies compliance with insurer rules, Medicare , Medicaid, HIPAA, and other applicable regulations. + Assists in Incident ... 401(k) with immediate vesting + Medical, dental, vision, life, & short-term disability insurance AssistRx, Inc. is proud to be an Equal Opportunity Employer. All… more
- Highmark Health (Tallahassee, FL)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more