- Humana (Miramar, FL)
- …discrepancies between company records and those maintained by the Centers for Medicare and Medicaid Services. This role encompasses a range of moderately complex ... administrative, operational, and customer support tasks, including performing calculations and data analysis. Assignments are generally semi-routine in nature,… more
- CenterWell (Fort Lauderdale, 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 . Medicaid Provider Number . Minimum of two to five… more
- CenterWell (Delray Beach, 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
- Prime Therapeutics (Tallahassee, FL)
- …related partner/customer relationships including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm ... + Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such as… more
- Humana (Tavares, FL)
- …preferably in the health care or insurance industry, and specifically in Medicare Advantage products + Proven experience in community outreach, grassroots marketing, ... **Preferred Qualifications:** + Master's Degree + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional… more
- CenterWell (Port Saint Lucie, FL)
- …for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare ... care environment in a value-based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Use… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- …Nursing Salary: $31.00 - $41.00 per hour Position Details Similar experience with Medicare Home Health and OASIS is needed. Position Overview: TheRegistered Nurse - ... Assistance Program (EAP) - unlimited mental health telephonic counseling sessions, support with identity left, Will preparation and travel assistance + Robust… more
- Humana (Miramar, FL)
- …of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare /Medicaid criteria and Health Plan policies to ensure the referral meets all ... Office technical experience with Word, Outlook, and Excel + Knowledge of Medicare /Medicaid & commercial insurance + Must be passionate about contributing to an… more
- Humana (Tallahassee, FL)
- …best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various multi-disciplinary ... improved health outcomes for our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in the center of strategy, design,… more
- Molina Healthcare (St. Petersburg, FL)
- …for all staff to follow + Provides monthly reporting to management in support of functional processes + Oversees maintenance of processes and procedures for ... needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings… more