- Molina Healthcare (Miami, 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. (Fort Lauderdale, 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
- 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
- Molina Healthcare (South 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 (Miami, 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 (Tamarac, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... Do you have the career opportunities as a(an) Case Manager RN you want with your current employer? We...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Miami, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Mercy Hospital you can be...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Plantation, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Westside Hospital you can be...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Margate, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Northwest Hospital you can be...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Miami, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... environment where diversity and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Mercy Hospital today and find out what it… more
- Elevance Health (Miami, FL)
- …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- HCA Healthcare (Miami, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... organizations. Apply Today! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care… more
- Elevance Health (Miami, FL)
- …data. + Leads department projects and mentors' staff. + Prepares and presents program documents to senior management. **Minimum Requirements:** + Requires a BS ... **Clinical Quality Program Director** **Preferred Location: Florida. This position is...priority improvement areas strongly preferred. + Advance knowledge of Medicaid/ Medicare guidelines for the state of Florida. + Minimum… more
- HCA Healthcare (Miramar, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... collections for patient services. Under the supervision of the Business Office Manager /Business Office Supervisor, you will obtain payment from third party payers… more