- Travelers Insurance Company (Tampa, FL)
- …and communicate status. + Identify and evaluate the need for Allocation or Medicare Set Aside and make appropriate referral. + Customer Engagement. + Participate in ... to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.… more
- CenterWell (Tampa, FL)
- …email, etc.). **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid provider ... or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and...+ Competitive base salary + annual bonus + Health insurance effective Day 1 + 401(k) with employer match… more
- Humana (Tallahassee, FL)
- …and researching laws and regulations applicable to actuarial science and insurance operations. Advises executives to develop functional strategies (often segment ... submission of bids to support Humana's pricing and product development of Medicare Advantage and Prescription Drug Plans that positively impact the financial… more
- Humana (Tallahassee, FL)
- …ensuring the accurate and timely submission of encounter data to Medicaid, Medicare , and DSNP states, while maintaining adherence to all regulatory requirements. The ... is responsible for ensuring the integrity and accuracy of Medicaid and Medicare encounter data across multiple trading partners. This role collaborates with Product… more
- Humana (Tallahassee, FL)
- …You'll play a key role in shaping financial insights, supporting Medicare -related initiatives, and guiding analytical projects that impact business outcomes. + ... Lead financial analytics projects, with a focus on outcomes of Medicare risk adjustment operations and initiatives. + Work independently to analyze historical and… more
- Walmart (Orlando, FL)
- …required documentation and maintaining a safe and clean work environmentComplies with Medicare and Medicaid policies and procedures by implementing and adhering to ... on policy changes and new regulations researching information to accurately process Medicare orders to ensure compliance and interpreting and documenting Medicare… more
- CenterWell (Coral Springs, FL)
- …screened for TB. **Preferred Qualifications:** Active and unrestricted DEA license Medicare Provider Number/ Medicaid Provider Number Experience managing Medicare ... coordinated care environment in a value based relationship environment. Knowledge of Medicare guidelines and coverage. Bilingual is a plus Knowledge of HEDIS quality… more
- CenterWell (Fort Lauderdale, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five ... years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...+ quarterly bonus . Excellent benefit package - _health insurance effective on your first day of employment_ .… more
- CenterWell (Loxahatchee, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable ... experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...salary +bi-annual incentive . Excellent benefit package - _health insurance effective on your first day of employment_ .… more
- CenterWell (Boynton Beach, FL)
- …for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare ... care environment in a value-based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional… more