- HCA Healthcare (Miami, FL)
- …verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management , customer service, payroll and ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Elevance Health (Miami, FL)
- Wellpoint, formerly Amerigroup, is a proud member of Elevance Health 's family of brands, offering Medicaid and Medicare plans in several states. We also provide ... who will be responsible for appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health ...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies… more
- MyFlorida (Fort Lauderdale, FL)
- … care system to be the most cost-effective, transparent, and high- quality health care system in the nation. The Medicaid program provides low-income families ... of Plan Management Operations, please visit our website at http://ahca.myflorida.com/ Medicaid /index.shtml. Join us at the Agency for Health Care… more
- BeneLynk (Sunrise, FL)
- …Specialist with experience in assisting elderly and disabled members to obtain Medicaid benefits. Responsibilities include quality control reviews to ensure ... that assists people in understanding how to obtain additional health care benefits and compensates well for doing so,... quality . The QA Specialist ensures that BeneLynk's Medicaid and SNAP applications are compliant with BeneLynk's policies… more
- Elevance Health (Pembroke Pines, FL)
- …areas: behavioral/mental health , experience with SMI population, healthcare, home health and/or Medicaid . We encourage individuals to apply that have ... cases and for proactively identifying ways to improve the health of our members and meet quality ...determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral… more
- MyFlorida (Miami, FL)
- … health care system to be the most cost-effective, transparent, and high- quality health care system in the nation. Current Agency initiatives include ... technological ecosystem, and increasing insight in the cost of health care services. Agency Objectives: HIGH QUALITY ...Microsoft Office. *Knowledge of the principles and practices of health care management . *Knowledge of health… more
- BeneLynk (Sunrise, FL)
- …Health Care Advocates (Remote) Benefits Advocates with experience with assisting health care members with benefits, ie, Medicare, Medicaid , Community programs ... that assists people in understanding how to obtain additional health care benefits and compensates well for doing so,...candidates who have a background in Medicare Advantage and Medicaid case management . Limited Medicare and … more
- The Cigna Group (Sunrise, FL)
- Job Description **IT Project Management Senior Advisor** Provides counsel and advice to top management on significant IT Project Management matters, often ... to indicate project status. Will manage one or more Integrated Solution Management teams to meet complex project integrating/end to end testing objectives. Reviews,… more
- MyFlorida (Miami, FL)
- …requirements. Takes timely and appropriate corrective action on identified errors through the Quality Management System, management evaluation reviews, and ... adoption, domestic violence, adult protective services, refugees, homelessness, mental health , substance abuse, childcare providers, human trafficking, and public… more
- Elevance Health (Miami Lakes, FL)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and ... Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior...all duties of lower level positions as directed by management . + Participate in development and maintenance of Audit… more
- Elevance Health (Miami, FL)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and ... Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior...perform all duties of lower-level positions as directed by management . + Participate in development and maintenance of Audit… more
- Trinity Health (Fort Lauderdale, FL)
- …(CNO), Chief Quality and Patient Safety Officer, Director of Clinical Quality Management , Medical Director of Infection Prevention and Control, Infection ... and management of occupational exposures in cooperation with Workplace Health , and provides oversight to screening and immunizations + Collaborates with public… more
- Trinity Health (Fort Lauderdale, FL)
- …families, groups and communities develop their capacity and access to resources, including health insurance, food, housing, quality care and health ... promotion in a way that promotes understanding and self- management by the individual. Reinforces health literacy... health care and support services. Examples include health coverage via the insurance marketplace, Medicaid ,… more
- Aveanna (Fort Lauderdale, FL)
- …members of the patients' multi-disciplinary team, supply management , emergency management , coordination of care, health promotion and teaching and training ... in an acute care setting preferred As an employer accepting Medicare and Medicaid funds, employees must comply with all health -related requirements in all… more
- Humana (Miramar, FL)
- …of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare/ Medicaid criteria and Health Plan policies to ensure the referral ... part of our caring community and help us put health first** The Pre-Service Coordinator is responsible for all...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- BrightSpring Health Services (Fort Lauderdale, FL)
- …2:30PM-11:00PM We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and ... centers nationwide. If your passion is service excellence and top- quality care come join our team and apply today!...Point of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports… more
- Elevance Health (Miami, FL)
- …worksite and other locations as necessary. + HEDIS operations and quality improvement experience + Medicare/ Medicaid /Commercial/Exchange line of business ... office). Must reside within 50 miles/1hour commute from an Elevance Health location. The **Process Improvement Director-Enterprise HEDIS** is responsible for… more
- Conviva (Miami, FL)
- …Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral Coordinators and more. ... part of our caring community and help us put health first** The Primary Care Physician (PCP) works as...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- MyFlorida (Miami, FL)
- …both internal, external customers, clients, and the public. Registers clients in Health Management System (HMS) and determines method of payment. Interviews, ... records patient demographics and insurance/financial information. Verifies and records Florida Medicaid Management Information System (FMMIS), or other insurance… more
- Humana (Fort Lauderdale, FL)
- …23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid , achieve their best possible health and wellness through plans with ... part of our caring community and help us put health first** CarePlus (Humana Subsidiary) Health Plans...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more