- Intermountain Health (Tallahassee, FL)
- …alignment with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics ... AND Demonstrated knowledge of government benefits and regulations related to Medicare , Medicaid or the ACA. AND Demonstrated knowledge of queries. **_Preferred… more
- Humana (Tallahassee, FL)
- …new drug approvals, as well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … 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 ... to the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required… more
- Molina Healthcare (Tampa, FL)
- …the medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid , NCQA and other regulatory requirements. + Reviews quality ... Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration,… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & ... organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be eligible… more
- MyFlorida (Tallahassee, FL)
- …+ Perform planning for monthly and ad-hoc meetings with the Centers for Medicare and Medicaid Services (CMS). + Prepare agendas, presentation materials, ... This position will manage and produce monthly federal reporting for Florida Medicaid Information Technology projects. This position requires the ability to work… more
- MyFlorida (Tallahassee, FL)
- …Responsibilities include: + Perform planning for monthly meetings with the Centers for Medicare and Medicaid Services (CMS). + Develop monthly status reports for ... work. This position will manage multiple Advance Planning Documents for Florida Medicaid programs. This position will be responsible for obtaining state and federal… more
- CenterWell (Tampa, FL)
- …primary care or Medicare Advantage settings. + Active DEA license and Medicare / Medicaid provider numbers or ability to obtain DEA license and/or Medicaid ... and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines. **Use your skills to make an impact** **Compensation & Benefits** +… more
- ChenMed (Orlando, FL)
- …such as Salesforce, DASH, and Availity. + Eligibility criteria in terms of Medicare , Medicaid , Low-Income Subsidies, and Special Enrollment Periods. + Organizes ... knowledge and understanding of insurance representative relations + Strong knowledge of Medicare , Medicaid , Low-Income Subsidies, and Special Election Periods +… more
- BayCare Health System (Clearwater, FL)
- …+ This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual ... filings and audits, AHCA (Agency for Healthcare Administration) Florida Medicaid payment systems and staying current on all government...with at least two years direct preparation of the Medicare cost report working papers and filing of the… more