- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- AdventHealth (Maitland, FL)
- …Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... attention to detail and competencies in contract language review, research, decision support , and financial analysis in the preparation and support of… 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 ... drug, dental, vision, behavioral health and telemedicine services + **Wellbeing support ,** including free counseling and referral services + **Time away from… more
- Humana (Tallahassee, FL)
- …with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider ... + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with...forward to next round of interviews. In order to support the CDC recommendations on social distancing and reduce… more
- Molina Healthcare (Tampa, FL)
- …ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of ... medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred… more
- Humana (Tallahassee, FL)
- …Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends ... the work is built from the ground up to support our evolving goals. + Contribute to an area...coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills… more
- HCA Healthcare (The Villages, 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
- CenterWell (Plant City, FL)
- …care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with ... Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable… more
- Walmart (Orlando, FL)
- …documentation and maintaining a safe and clean work environment Complies with Medicare and Medicaid policies and procedures by implementing and adhering to rules ... on policy changes and new regulations researching information to accurately process Medicare orders to ensure compliance and interpreting and documenting Medicare… more
- CenterWell (The Villages, FL)
- …care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with ... Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable… more