- MyFlorida (Naples, FL)
- …be able to communicate effectively with clients and representatives from 3rd party insurance companies, Medicaid, and Medicare for the verification of ... County including, but not limited to: + Verifies client insurance and coverage to include Medicaid, Medicare ,...client insurance and coverage to include Medicaid, Medicare , and 3rd party insurances. + Utilizes the FLMMIS… more
- Select Medical (Orlando, FL)
- …Lead Conversion Call with Business Development team each morning. + Verify Medicare benefits and secondary/supplemental insurance plans of all referred patients ... + Extensive onboarding & training program + Customizable Health Insurance Packages + Unlimited Employee Referral Bonus Program **Who... verification and knowledge of how benefits under the Medicare program are applied. + Previous experience as a… more
- CenterWell (Tallahassee, FL)
- …Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-25-2025 **About us**… more
- Humana (Tallahassee, FL)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance... Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers… more
- Humana (Tallahassee, FL)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical… more
- Centene Corporation (Tallahassee, FL)
- …with government contract law, health law and managed care preferred Knowledge of Medicare , Medicaid, and/or ACA marketplace insurance insurance , state ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …+ Research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies, and all state Medicaid ... for full time employees + Medical, Dental, and Vision insurance + 401 (k) (available for Part Time &...Time & Full Time EEs) + Company Paid Life insurance + Short-term and Long-term disability insurance … more
- HCA Healthcare (Fort Lauderdale, FL)
- …for all government payor initiatives including, but not limited to, the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA), ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Humana (Tallahassee, FL)
- …organizations in the country. The Healthcare Strategy team supports Humana's Insurance segment. This segment, Humana's largest, comprises the majority of the ... experience leveraging core consulting skills, to support delivering some of the Insurance segment's highest priority projects and initiatives, with an emphasis on … more
- Humana (Tallahassee, FL)
- …Principal coordinates, implements, and manages oversight of the company's Medicare /Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... role is responsible for supporting the Stars strategy within Insurance Operations, serving as a subject matter expert for...years or more of CMS Stars program experience + Medicare Advantage experience + Previous leadership experience as a… more