- Evolent (Tallahassee, FL)
- …under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... 2+ years of actuarial experience in healthcare + SAS or other coding skills + Medicare experience + Familiarity with CMS Star Ratings Travel: While this is a remote… more
- CVS Health (Tallahassee, FL)
- …Qualifications** + Pharmacist + 7-10 years work experience in healthcare + Medicare and/or Medicare - Medicaid Integrated Product Experience + Experience ... with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and audit management + Experience with Part C & D reporting requirements + 3+ years serving as project lead + Adept at problem solving and… more
- ChenMed (Miami, FL)
- …ABILITIES:** + Strong business acumen and acuity + In depth knowledge of Medicare , Medicaid , and commercial billing rules and regulations, coding, and ... reimbursement processes + Comprehensive knowledge of Medicare program including but not limited to Risk Adjustment processes and Fee For Service. + Knowledge of… more
- MyFlorida (Orlando, FL)
- …processing the copayments and deductibles of various types of insurance to include Medicare , Medicaid , private insurance, ACA Health Insurance, or VA Insurance ... as well as adjusting to life and making changes + Educate clients on Medicare Parts C and D and their co-payments and deductibles + Complete ADAP enrollment… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... + **Industry Knowledge** : Familiarity with the healthcare sector, specifically Medicare Advantage, and an understanding of regulatory frameworks and market… more
- Evolent (Tallahassee, FL)
- …under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Evolent (Tallahassee, FL)
- …under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- AdventHealth (Altamonte Springs, FL)
- …to comply with federal, state, and local guidelines, as well as Medicare , Medicaid , and insurance reimbursement requirements. + Provides overall direction ... with patients who are non-admitted, discharged, or have revoked the Hospice Medicare Benefit, and ensures tracking and monitoring of changes for future hospice… more
- CVS Health (Tallahassee, FL)
- …Experience or willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + **Community Resources:** Familiarity with ... of the position **Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members + Experience working with individuals… more