- Centene Corporation (Pensacola, FL)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs + Provides feedback to leadership on opportunities to improve and enhance care and quality… more
- Sevita (FL)
- …other stakeholders; identify opportunities by following industry trends, responding to payer needs, and requests for proposal. + Identify potential candidates for ... tuck-in or acquisition; assist with diligence and integration planning; assume management of acquired entities. + Direct strategy across multiple states to increase census, maintain occupancy, improve daily attendance, and maximize utilization. + **Financial… more
- AdventHealth (Kissimmee, FL)
- …benefit has been achieved and/or according to the standards of practice and payer guidelines + Participates in practice changes as a result of performance ... improvement activities. Supports quality standards and initiatives set by the department + Practices principles of professional development by maintaining clinical competencies, using best and/or evidence-based practices and serving as a clinical instructor +… more
- HCA Healthcare (Fort Pierce, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Takeda Pharmaceuticals (Miami, FL)
- …launch experience + In-depth knowledge of buy-and-bill reimbursement models and payer dynamics + Skilled in complex biologics **TRAVEL REQUIREMENTS:** + Willingness ... to travel up to 50% of the time, inclusive of conferences on weekends, overnight programs as well as attendance at key internal meetings Individual must reside within territory boundaries given the extensive travel arrangements of this role. **More about us:**… more
- HCA Healthcare (Plantation, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Lundbeck (Fort Lauderdale, FL)
- …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... **Pharmaceutical Environment/Compliance** - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and… more
- Select Medical (Tampa, FL)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED + 1 Year Front Desk experience **Preferred:** + Bilingual **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Centene Corporation (Spring Hill, FL)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- PruittHealth (Jacksonville, FL)
- …from these sources. 8. Basic knowledge of insurance companies and other payer sources. 9. Supports and participates in promotional activities, sales campaigns and ... other growth initiatives. **KNOWLEDGE, SKILLS, ABILITIES:** * Demonstrates principles of the sales process in a healthcare environment. * Able to manage a territory, conduct sales calls and presentations, and generate referrals by building long term business… more