- Kestra Medical Technologies, Inc (Tampa, FL)
- …care teams harmoniously monitor, manage, and protect life. The Clinical Account Specialist (CAS) will be responsible for providing high quality touchpoints in key ... healthcare setting . Competent with Microsoft products, Salesforce, and remote patient monitoring systems . Excellent communication skills and cross-collaboration… more
- AdventHealth (Altamonte Springs, FL)
- …while understanding that **together** we are even better. **Schedule:** Full Time Remote **Shift** : Days **Location:** 900 WINDERLEY PL, Maitland, 32751 **The ... appropriate ICD-10 and CPT codes conventions and requirements of the Medicare Prospective Payment System. Actively participates in outstanding customer service and… more
- Modernizing Medicine (Tampa, FL)
- …FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring ... a driven Patient Claim Specialist who will play a pivotal role in shaping...submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound… more
- Ochsner Health (Pensacola, FL)
- …OR additional combination of formal education, training, and applicable experience with Medicare Advantage. **Work Experience** Required - 3 years of experience in ... Microsoft Excel, Word, PowerPoint, Outlook, and SalesForce. + Value-based care, medicare advantage, data analysis, project management. + Ability to efficiently… more
- Cardinal Health (Tallahassee, FL)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of...hours of Monday-Friday, 7:00 AM to 8:00 PM CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will… more
- Highmark Health (Tallahassee, FL)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Wider Circle (Daytona Beach, FL)
- …phone or video conferencing. + A genuine interest in working with Medicare /DSNP/Medicaid populations and a commitment to building strong, supportive relationships. + ... to learn and grow in the role. + You have experience working in a remote environment and excel at working autonomously. + You have flexible availability (outside of… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST ( REMOTE ) WHO WE ARE Polaris Pharmacy Services is an ... Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services...to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio… more
- Evolent (Tallahassee, FL)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Molina Healthcare (Orlando, FL)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more