- Humana (Tallahassee, FL)
- …Primary Care & Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + ... speaker series, fireside chats, and curated networking events. + **Mentorship & Support :** Receive personalized guidance from mentors, coaches, and buddies to help… more
- CVS Health (Tallahassee, FL)
- …day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence… more
- Humana (Tallahassee, FL)
- …standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental ... experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of… more
- ChenMed (Jacksonville, FL)
- …long-term relationships and higher level of satisfaction with key specialists with support from network director or associate director. + Conducts site visits to ... resolves issues, educates staff/providers on policies and certifies specialists with support of network director or associate director. + Establishes consistent and… more
- Humana (Niceville, FL)
- …relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ... administrative expenses and quality/bonus performance + Comprehensive knowledge of Medicare policies, processes and procedures **Additional Information** + **Workstyle:**… more
- Aveanna Healthcare (West Palm Beach, FL)
- …award-winning culture. We're committed to fostering diversity, collaboration, and providing support at every step. What Sets Aveanna Apart? Award-Winning Culture + ... + Structured New Hire Orientation + Employee Resource Groups for Community and Support Position Details + Compensation:67,000+ base salary + quarterly bonuses + paid… more
- Trinity Health (Fort Lauderdale, FL)
- …and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery ... years of experience in multi-specialty coding, with comprehensive knowledge of Medicare , Medicaid, and other third-party billing rules and regulations preferred.**… more
- Humana (Tallahassee, FL)
- …Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or ... or Bachelor's degree in a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual is a… more
- HCA Healthcare (Pensacola, FL)
- …Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. ... banking partnerships + Education assistance (tuition, student loan, certification support , dependent scholarships) + Colleague recognition program + Time Away… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have direct supervision of the contract ... and execution of the commercial reimbursement strategy including Medicaid and Managed Medicare plans. + Responsible and accountable for optimizing the Company's… more