- CenterWell (Royal Palm Beach, FL)
- …defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare … more
- CenterWell (Weston, FL)
- …defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential ... Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five… more
- Prime Therapeutics (Tallahassee, FL)
- …related partner/customer relationships including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm ... + Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such as… more
- Molina Healthcare (St. Petersburg, FL)
- …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... processes and established guidelines; provides appropriate follow up on peer review findings + Identifies, defines and communicates opportunities for improvement to… more
- CenterWell (Belle Glade, FL)
- …defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential ... Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable… more
- CenterWell (Apopka, FL)
- …defined by clinical leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential ... Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable… more
- Prime Therapeutics (Tallahassee, FL)
- …Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** + ... Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- HCA Healthcare (Davie, FL)
- …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of...apply for our Clinical Manager Home Health opening. We review all applications. Qualified candidates will be contacted by… more
- Actalent (Orlando, FL)
- …Technician to join our team. In this role, you will primarily support Medicare and Medicaid patients by managing the intake and processing of prior authorizations. ... entering prior authorization requests into our system and coordinating with review technicians. Training opportunities are available for those interested in… more
- Walgreens (St. Petersburg, FL)
- …are correctly authorized and required documentation is on file. + Ensure all Medicare documentation is received from the medical provider and submitted to Danville. ... + Review reports to maximize generic substitution opportunities. + Manage...to submitting medical claims, including but not limited to Medicare submission, knowledgeable in EOB (explanation of benefits), remittance… more