- 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. ... expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims… 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. ... in alignment with regulatory and accreditation standards, including CMS and Medicare Advantage requirements. The manager also prepares the organization for… 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. ... coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills...role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside… more
- Prime Therapeutics (Tallahassee, FL)
- …specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM ... operations (eg workflow processes and case management) + Government programs ( Medicare ) knowledge **Preferred Qualifications** + Contact Center experience + Pharmacy… more
- CenterWell (Safety Harbor, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare / Medicaid Provider Number . Minimum of two to five years directly ... applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a… more
- Humana (Miramar, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare Conditions of Participation. This role audits Start of Care,… more
- MyFlorida (Tallahassee, FL)
- …encounter submissions, and provider enrollment. * Remain informed about Medicare policies, national Medicaid /CHIP-related research and demonstration projects, ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- MyFlorida (Tallahassee, FL)
- …state statutes, administrative rules, health care and relevant industry trends, Medicare policies, national Medicaid -related research and demonstration projects, ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- MyFlorida (Tallahassee, FL)
- …between the work unit, other areas of the Agency, and the Centers for Medicare and Medicaid Services. The individual: *Assembles and reviews applications and ... consultative services for all matters pertaining to the state licensure and/or Medicare certification of assigned programs, and for the coordination of activities… more
- Humana (Tampa, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... strategy **Preferred Qualifications** + Experience in senior healthcare and/or Medicaid + Formal qualitative (1:1 interviews, focus groups) moderation experience… more