- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Miami, FL)
- …**Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
- Humana (South Miami, FL)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and… more
- Elevance Health (Miami, FL)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- ChenMed (Miami Gardens, FL)
- …providers. We're rapidly expanding and we need great people to join our team. The Senior Manager , Analytics actively leads and participates with a team to create ... and challenges. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + High business acuity and insight… more
- CenterWell (Weston, FL)
- …within the Center. . Participates in the local primary care "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, ... as required . Graduate of accredited MD or DO program of accredited university . Excellent verbal and written...Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum… more
- CenterWell (North Bay Village, FL)
- …and recreational activities + Health Plan experience, including Medicare /Medicaid + Electronic Medical Record (ECW) knowledge/experience **Additional Information:** ... facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be...insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care… more
- Molina Healthcare (Miami, FL)
- …skills. * Microsoft Office suite (including Excel), and applicable software program (s) proficiency. **Preferred Qualifications** * Medicare Part D and/or ... care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...pharmacy call center team under the direction of pharmacy senior leadership. * Identifies and implements programs to improve… more