- The Cigna Group (Tampa, FL)
- …market. Must be able to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a ... the Provider Performance Director, the Provider Performance Manager ensures the...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the… more
- Elevance Health (Tampa, FL)
- **Director I Medicare Operations** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...as well as to ascertain adherence to the policies, Provider Outreach and Education, PSC Liaison activities, data mining… more
- MyFlorida (Largo, FL)
- HEALTH OPERATIONS MANAGER - SES - 50000237 Date: Sep 19, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 837677 Agency: Veterans Affairs Working Title: HEALTH OPERATIONS MANAGER - SES - 50000237 Pay Plan: SES Position...third party billing in a clinical related environment including Medicare , Medicaid, and Commercial Insurers + Three (3) years… more
- CenterWell (Clearwater, FL)
- …a case, as needed. + Instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times ... final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers… more
- AdventHealth (Tarpon Springs, FL)
- …the plan to achieve patient/family goals and top decile outcomes. The PT Care Manager also identifies performance improvement and home health standard of care ... Reimbursement as it impacts care delivery + Recent, relevant experience in a Medicare -certified home health agency as a case- manager This facility is an… more
- Elevance Health (Tampa, FL)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more
- Conviva (Hudson, FL)
- …Internal Medicine or Geriatric Medicine preferred * Active and unrestricted DEA license * Medicare Provider Number * Minimum of two to five years directly ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is… more
- Elevance Health (Tampa, FL)
- …- CAHPS/STARS** is responsible for high-priority analytical projects for the Medicare CAHPS Organization by leading the planning, direction, and management of ... and analytical leadership within a team of analysts specifically focused on Medicare Advantage CAHPS. + Conducts complex CAHPS analysis and works with enterprise… more
- Elevance Health (Tampa, FL)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... of supplier/vendor management. + Hires trains coaches counsels and evaluates the performance of direct reports. **Minimum Requirements:** + Requires a BA/BS in a… more
- Elevance Health (Tampa, FL)
- …initiatives. **How You Will Make an Impact:** + Compare privacy compliance performance across subsidiaries and to that of other organizations through benchmarking. + ... high performing, collaborative culture. Hires, trains, coaches, counsels, and evaluates performance of direct reports. **Minimum Requirements:** + Requires a BA/BS… more
- WTW (Tampa, FL)
- …This position works in a call center setting and reports to the Performance Manager . Responsibilities: * Contacts and qualifies prospective customers and ... team of Insurance Sales Agents in Tampa, FL. We provide full-time inside sales positions working with some of...Full Benefits The Sales Agent typically holds Health and/or Medicare Supplement insurance license and works directly with consumers… more