- WelbeHealth (Tallahassee, FL)
- …technical analysis, operations, and internal controls + Oversee the preparation and review process for financial and operational reports required by our core ... + Assist with month-end close, quarterly financial reporting, financial audit, Medicare /Medicaid audits, and other PACE specific projects + Keep a… more
- Elevance Health (FL)
- …actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an Impact** Primary duties ... Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data-driven analyses… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** Act as a primary resource for all dental products (DHMO, PPO, Medicare ) for providers, sales and marketing, and Dental Service Centers to aid in ... and market position. Negotiation of contract language and provider compensation. Review quality and service reports with provider and appropriate staff, contacting… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- Prime Therapeutics (Tallahassee, FL)
- …strategic plans that achieve Star Ratings and quality outcomes for Medicare , Medicaid, Individual Health Insurance Marketplace, and Commercial lines of business. ... the client quality support model strategy for all lines of business ( Medicare , Medicaid, commercial/HIM); serve as primary enterprise point of contact and subject… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- Molina Healthcare (St. Petersburg, FL)
- …Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the CDPS model… more
- Surgery Care Affiliates (Tallahassee, FL)
- …guidelines in contacting patient's prior to the date of service to review , Physician Ownership, Advance Directives and Patient Rights. Authorization: + Obtain ... payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form. Financial Orientation: + Calculate… more
- Kestra Medical Technologies, Inc (Sarasota, FL)
- …status + Completion of background check + Completion of drug screening testing + Review and agree to hospital policies and procedures + Completion of online courses, ... Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- HCA Healthcare (Sarasota, FL)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of...you to apply for our PRN RN opening. We review all applications. Qualified candidates will be contacted by… more