- Molina Healthcare (Orlando, FL)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... 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
- Gilead Sciences, Inc. (Orlando, FL)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Molina Healthcare (Mid Florida, FL)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
- Molina Healthcare (Orlando, FL)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- HCA Healthcare (Orlando, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... of our team. **Job Summary and Qualifications** As Reimbursement Manager , you will complete Medicare and Medicaid...success. Nashville is also home to our Executive Development Program , where exceptional employees are groomed to take on… more
- AdventHealth (Orlando, FL)
- …resources and patient population._ _Collaborates with Executive Director of Research Operations, Sr . Clinical Operations Manager and AHRI Core Managers to ... **Clinical Research Operations Manager - Surgery & Orthopedics Research** **- AdventHealth...works closely with business development teams and Study Intake Program Managers to ensure all research projects are of… more
- HCA Healthcare (Sanford, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... you have the career opportunities as a(an) RN Case Manager you want in your current role? We invest...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Sanford, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to… more
- HCA Healthcare (Kissimmee, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to… more
- CenterWell (Kissimmee, FL)
- …experience + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, ... caring community and help us put health first** The Manager , Clinic/Center Administration plans and directs the work of...Qualifications** + Basic knowledge of Population Health Strategy + Medicare knowledge + Managed care experience + Value Based… more
- Bluestone Physician Services (Orlando, FL)
- …medicare -26-6-million/) as measured by the overall savings per Medicare beneficiary. Position Overview : The Territory Manager ... In addition to fostering relationships with external stakeholders, the Territory Manager will work closely with internal stakeholders to coordinate future business… more
- Kemper (Lake Mary, FL)
- …new red flag indicators. + Advanced Claims Handling: Work closely with the Team Manager , Sr . Manager and/or Director and defense attorney, when applicable, ... Research and interpret injury related statutory provisions and case law. Identifies Medicare eligible parties. Examine points of impact and extent of damage relative… more
- CenterWell (Longwood, FL)
- …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… more
- AdventHealth (Maitland, FL)
- …management professional who supports the Director of System Care Management and/or Senior Manager Operations Optimization - Care Management in development and ... development for Care Management system needs, to include policy development, program development, and quality improvement. CMEL collaborates with Campus Care… more
- CenterWell (Lake Mary, FL)
- …release claims timely. . Adhere to and participate in Agency's mandatory HIPAA / Privacy Program and Employee Compliance Program . . Read and adhere to all Agency ... and be able to problem solve effectively. . Must possess knowledge of Medicare guidelines governing home health and hospice agencies. . Must have exceptional… more
- CenterWell (Kissimmee, FL)
- …English + Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months + A valid driver's license, auto insurance, ... the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as… more