- Elevance Health (Miami, FL)
- …granted as required by law._ MMM Holdings, LLC is a company that provides Medicare Advantage and Medicaid plans in Puerto Rico. Currently, MMM Holdings, LLC operates ... vendor contracts and leveraging in-depth knowledge of a Puerto Rico Medicaid and Medicare specialty or area of law to provide advice and recommendations to… more
- BAYADA Home Health Care (Jacksonville, FL)
- …Therapist or Speech Language Pathologist should have prior experience in Medicare Home Health. This position offers the successful candidate the opportunity ... community health experience + Prior clinical and managerial experience within a Medicare Certified Home Health agency + Comprehensive knowledge of OASIS and the… more
- Molina Healthcare (Miami, FL)
- …providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina ... pharmacists, and maintaining good medication adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations.… more
- ChenMed (Lauderhill, FL)
- …understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to ... + An understanding of the company's patient population, including the complexities of Medicare programs + Detail-oriented with the ability to multi-task. + Able to… more
- ChenMed (St. Petersburg, FL)
- …understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to ... + An understanding of the company's patient population, including the complexities of Medicare programs + Detail-oriented with the ability to multi-task. + Able to… more
- Robert Half Office Team (Miramar, FL)
- … insurance and billing processes. * Proficiency in managing and appealing insurance denials. * Comprehensive knowledge of Medicare , Medicaid, and third-party ... contract-to-hire position, you will play a key role in coordinating insurance authorizations and ensuring accurate patient documentation for medical equipment… more
- Humana (Orlando, FL)
- …Florida, with at least 4 years of relevant experience + Prior experience with Medicare & Medicaid recipients + Minimum 2 years case management experience + Bilingual ... have a valid state driver's license and proof of personal vehicle liability insurance **Preferred Qualifications** + Prior nursing home diversion or long term care… more
- CenterWell (Edgewater, FL)
- …experience preferred . New graduates will be considered . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated ... environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality.... Minimal Call . Comprehensive benefits package - _health insurance is effective on your first day of employment_… more
- ChenMed (St. Petersburg, FL)
- …more extensive business relationships with various health plan agents, individual insurance agents, social workers, case workers, senior housing managers, senior ... talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Cultivates strong relationships with health… more
- Sedgwick (Tallahassee, FL)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are you skilled in **coverage determination** ,… more