- 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
- Humana (Fort Lauderdale, 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
- CenterWell (Tamarac, 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 (Coral Springs, FL)
- …within the Center. Participates in the local primary care "on-call" program of Conviva. Assures personal compliance with licensing, certification, and accrediting ... applicable experience preferred Successful completion of a Nurse Practitioner program with Board Certification Active, unrestricted Nurse Practitioner license in… more
- ChenMed (Miami, FL)
- …rules and regulations, coding, and reimbursement processes + Comprehensive knowledge of Medicare program including but not limited to Risk Adjustment processes ... designs products and tools to address these gaps. + Partners with senior business stakeholders to identify, analyze, and prioritize RCM activities based on… more
- CenterWell (Tamarac, FL)
- …wellness and recreational activities + Health Plan experience, including Medicare /Medicaid + Electronic Medical Record (ECW) knowledge/experience **Working Hours: ... 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
- Deloitte (Miami, FL)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare...meetings to explain CDI benchmarks, KPIs and demonstrate overall program accomplishments and challenges through analytics and dashboards +… more