- CenterWell (Orlando, 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 (Pinellas Park, 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
- HCA Healthcare (Tamarac, FL)
- …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... + Reliable transportation and proof of valid automobile liability insurance + Must have valid driver's license **Benefits** HCA...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- ChenMed (Margate, FL)
- …patient visits with specialty care. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with ... of appointment information: date, time, and location. + Uses web-based insurance platforms to generate referral authorizations. + Effectively communicates the… more
- HCA Healthcare (Melbourne, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal… more
- Humana (Tallahassee, FL)
- …approvals, as well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging therapeutics, ... experiences **Preferred Qualifications** + PharmD + Health Plan experience + Knowledge of Medicare as it relates to pharmacy + Six Sigma and/or Project Management… more
- Humana (Tallahassee, FL)
- …+ 3+ years of SQL experience, preferably in SSMS. **Preferred Qualifications** + Medicare Advantage experience. + Experience with SQL and VBA highly preferred. + ... Information** + This role is part of a team that owns the Medicare Advantage pricing methodology and supporting tools in the ecosystem. Travel: While this… more
- Humana (Tallahassee, FL)
- …This role will support a few tools used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make ... Qualifications** + Strong technical skills, especially SQL and VBA + Individual Medicare Advantage experience Travel: While this is a remote position, occasional… more
- Humana (Tallahassee, FL)
- …expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims ... technical skills, especially SQL, VBA, and Databricks/Python + Individual Medicare Advantage experience + Knowledgeable on ESRD population **Additional Information**… more
- Humana (Tallahassee, FL)
- …in alignment with regulatory and accreditation standards, including CMS and Medicare Advantage requirements. The manager also prepares the organization for ... Sigma a plus. + Strong knowledge of CMS Conditions of Participation and Medicare Advantage regulations. + Minimum 5 years of healthcare quality experience, including… more