- Convey Health Solutions (Fort Lauderdale, FL)
- …Comfortable with outbound prospecting, qualifying opportunities and building rapport with senior stakeholders. + Strong written and verbal communication skills. + ... Experience with BI or analytics is a plus. + Familiarity with RFP tracking tools, Medicare Advantage landscape or value-based care models is a plus. About Us WHO WE… more
- Molina Healthcare (St. Petersburg, FL)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... + Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or… more
- Prime Therapeutics (Tallahassee, FL)
- …Relations Sr Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for ... or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract… more
- BayCare Health System (Clearwater, FL)
- …| Full-Time | Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management Analyst plays a key role in BayCare's Reimbursement department, ... the Team:** + Analyze government reimbursement data and develop strategies for Medicare /Medicaid Cost Reports + Prepare and review annual cost reports and ensure… more
- Gentiva (Kissimmee, FL)
- …Manager, You Will:** * Report directly to the Executive Director, Administrator, or Senior Patient Care Manager * Oversee and direct patient care services to ensure ... ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) * Knowledge and compassion for terminally ill… more
- Gentiva (Winter Garden, FL)
- …join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for maintaining a high ... practice, including industry standards, regulations, and best practices (ie, Medicare , Medicaid, JCAHO, ACHC), company policies/procedures, and understanding ofterminally… more
- HCA Healthcare (Kissimmee, FL)
- …helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare Healthcare at Home is a ... to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team… more
- Humana (Tallahassee, FL)
- …capabilities to enable federated Enterprise API development. + Works with senior executives to develop and drive enterprise-wide functional strategies, with ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- AdventHealth (Maitland, FL)
- …strategies. This executive will serve as a strategic partner to market senior level executives to drive contract performance in value-based payment models, achieve ... to grow value-based products in the Central Florida Division, including Medicare Advantage, commercial payers, direct to employer agreements, managed Medicaid and… more
- Molina Healthcare (Miami, FL)
- …key Quality Improvement (QI) leader within the organization, empowered to advise senior management and other departments on Quality strategies and initiatives. This ... experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience… more