- Molina Healthcare (St. Petersburg, FL)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- Molina Healthcare (St. Petersburg, FL)
- …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- WTW (Tampa, FL)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... to join our Sales Center Team as a Sales Director . **How the Position Works** The Sales Director...within a sales center environment. + Strong understanding of Medicare and Medicaid regulations. + Demonstrated integrity and strong… more
- Molina Healthcare (St. Petersburg, FL)
- …without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- AdventHealth (Tampa, FL)
- **Basic Function** The Fellowship Program Director , in accordance with the specific accreditation body, has responsibility and accountability for the operation of ... well-being. + Oversight of scholarly activities The Fellowship Program Director reports to the Sponsoring Institution's Chief Academic Officer/Designated… more
- Bristol Myers Squibb (Tampa, FL)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in ... for Manufacturer Discount Program (formerly Coverage Gap Discount Program) administration and payment responsibilities + Champion process improvement initiatives as… more
- Bristol Myers Squibb (Tampa, FL)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in ... payments with SAP + Lead team with Coverage Gap Discount Program administration and payment responsibilities + Lead or support process improvement initiatives +… more
- AdventHealth (Tampa, FL)
- …needs of patients by CPOE/written/oral methods + Dispense & Administration of medications + Performance medication reconciliation + Formulating interventions ... agencies ie DNV, United Network for Organ Sharing (UNOS), Centers for Medicare and Medicaid Services (CMS), and Interagency Registry for Mechanically Assisted… more
- Elevance Health (Tampa, FL)
- …organization with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. **Medical Management Clinician Associate** **Location:** The ... Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing… more
- AdventHealth (Tampa, FL)
- …coding accuracy retrospectively and concurrently as assigned by manager and/or Director . . Reviews and addresses all third party/Regulatory Agencies requests for ... coding rules applicable to AdventHealth West Florida Division and requirements of Medicare and payor specifications. . Assign DRGs on chart in accordance with… more