- Elevance Health (Tampa, FL)
- **Medical Management Specialist I** **Location** : **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... as required by law. **Shift:** Monday-Friday 8a-5p EST The **Medical Management Specialist I** is responsible for providing non-clinical support to the Medical… more
- AssistRx (Maitland, FL)
- We are in search for a Compliance Specialist . Compliance works to ensure controls and safeguards are in place to promote adherence to applicable federal and state ... and customer data. DUTIES AND RESPONSIBILITIES: + Assists the Compliance Manager with performing internal reviews, research and/or audits to verify compliance… more
- AdventHealth (Tampa, FL)
- …and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing and HIM coders, the Clinical ... Documentation Specialist (CDS) strategically facilitates and obtains appropriate and quality...team. This includes quarterly and annual compliance updates from Medicare . Qualifications **The expertise and experiences you'll need to… more
- Trinity Health (Fort Lauderdale, FL)
- …abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, ... level assignment and charge entry. Other related responsibilities as assigned by manager . Minimum Qualifications: + High school diploma or equivalent combination of… more
- Wider Circle (Daytona Beach, FL)
- …in Wider Circle's digital systems in a timely manner. + Support Area Manager by assisting Specialists in their role, which can include training, shadowing or ... phone or video conferencing. + A genuine interest in working with Medicare /DSNP/Medicaid populations and a commitment to building strong, supportive relationships. +… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
- AdventHealth (Oviedo, FL)
- …Recent, relevant experience in a Medicare -certified home health agency as a care- manager + Cert for Oasis Specialist -Clinical (COSC) + Home Health Care- ... **Home Health Physical Therapist Care Manager - Adventhealth Home Health** **All the benefits...you'll contribute:** The Home Health Physical Therapist (PT) Care manager is a professional therapist who coordinates and directs… more
- AdventHealth (Orange City, FL)
- …current car insurance **Preferred qualifications:** + Recent, relevant experience in a Medicare -certified home health agency as a case- manager + Certified Case ... **Home Health Speech Therapy Care Manager - AdventHealth Home Health** **All the benefits... Manager + Certificate for OASIS Specialist - Clinical This facility is an equal opportunity… more
- AdventHealth (Wauchula, FL)
- …qualifications:** + Bachelor's Degree in Nursing + Recent, relevant experience in a Medicare -certified home health agency as a case- manager + Home Health Case- ... **Registered Nurse Case Manager - AdventHealth Home Health** **All the benefits...Manager Certification + Certificate for OASIS Specialist - Clinical This facility is an equal opportunity… more
- Humana (Tallahassee, FL)
- …as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in Adobe Experience Platform (AEP) and Next Best Action… more