- Good Samaritan (Kissimmee, FL)
- … Medicare & Medicaid billing experience. **Job Summary** Manage the day-to-day business office related tasks to ensure high quality service delivery, ... run smoothly. Supervise the implementation of policies and procedures within the business office to ensure compliance with organizational standards and… more
- Centene Corporation (Tallahassee, FL)
- …of the Medicare Supplemental dental, vision and hearing benefits. Program Manager will own a complex portfolio of designs, and directly responsible for ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the development, planning and… more
- Elevance Health (FL)
- …for completing diverse and complex projects related to risk adjustment analytics in the Medicare Advantage line of business . **How You Will Make an Impact** ... ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement:...Requirement: Hybrid 1;** **This role requires associates to be in- office 1 - 2 days per week,** fostering collaboration… more
- Molina Healthcare (Jacksonville, FL)
- …on team. Mentors interns on a daily basis. + Acts as liaison between business customers, state, and project management office to ensure all state requirements ... reports and support change requests for existing reports with line-of-sight to business processes + Creates reports using Microsoft SQL Reporting Services and… more
- BAYADA Home Health Care (Orlando, FL)
- …for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office , individuals in this role are expected to ... is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager ... provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information… more
- WTW (Fort Myers, FL)
- **Description** **Who we are:** TRANZACT is a leading direct-to-consumer insurance services business , specializing in the distribution of Medicare Advantage, ... connect with consumers. Our diverse team of analysts, writers, engineers, designers, business leaders, data scientists and sales professionals all work together to… more
- Adecco US, Inc. (Tampa, FL)
- …not limited to insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics. * Must have Medicare and commercial ... its clients in their search for a Field Reimbursement Manager in Tampa, FL! **Pay rate** : $51.92 -...Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both… more
- Kestra Medical Technologies, Inc (Sarasota, FL)
- …patients and their care teams harmoniously monitor, manage, and protect life. A Territory Manager is responsible for securing new business and managing a sales ... addition to direct sales responsibilities for a given territory, the Territory Manager provides training, on-going product service and support, and assistance in the… more
- Humana (Tallahassee, FL)
- …first** Humana's Corporate Marketing organization is looking for a Marketing Research Project Manager to join the Market Research team as a Senior Market Research ... we serve. In this role, you will work with marketing partners and the lines of business to define a learning agenda and key strategic insight needs. You will play a… more
- Adecco US, Inc. (Tampa, FL)
- …not limited to insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics. + Must have Medicare and commercial ... Adecco is hiring immediately for a **Field Reimbursement Manager ** with a local client. **Hybrid (must reside...and on-demand education (including Lunch and Learns) for the office staff in regard to Reimbursement challenges and support… more
- USAA (Tampa, FL)
- …special and impactful. **The Opportunity** **USAA is seeking a talented** ** Manager , Life/Health/Retirement Income to join the Life Company Health Solutions Team.** ... As a Manager , Life/Health/Retirement Income, you will manage a team of...environment that requires an individual to be **in the office 4 days per week.** This position will be… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially...healthcare system payer billing practices + Proficiency in MS Office suite **Skills and Abilities** + Excellent verbal and… more
- AdventHealth (Maitland, FL)
- …for Florida and multi-state hospital providers, with a concentration on Medicare , state specific Medicaid, non-contracted payers, and Tricare. Consults with key ... system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation of new systems… more
- Humana (Lakeland, FL)
- …of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or ... the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently...locked door that can be used as a home office to ensure continuous privacy while you work +… more
- Humana (Tallahassee, FL)
- …us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve health outcomes ... tools such as: user research and concept testing, opportunity sizing and business case development, product blueprints, training development and ability to de-risk… more
- Humana (Hallandale Beach, FL)
- …company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are eligible to participate ... in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families towards and facilitates interaction...workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration… more
- Datavant (Tallahassee, FL)
- …bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...operating proactively vs reactively. The primary functions of the Business Analytics team are to create analytic solutions that… more
- ChenMed (Tampa, FL)
- …with PCPs to further the ChenMed Way, leading a diverse staff, growing a business and owning a profit and loss budget. This service-oriented individual has a keen ... and other Chen Medical team members_ ). + Oversees office communication and performance to ensure that front desk,...costs and complexity. + Utilizes a keen sense of business acumen that assists with understanding our business… more
- Elevance Health (Miami, FL)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for… more
- Centene Corporation (Orlando, FL)
- …flexibility. **Candidates must be bilingual English/Spanish** **Position Purpose:** Manages either the Medicare Sales or the Broker Field Sales teams to drive and ... and consistency in working toward targeted goals. + Completes assigned business projects/deliverables as needed within specified time frame. + Performs other… more