- Travelers Insurance Company (Tampa, FL)
- …providers with escalated issues. Answer questions and analyze and resolve problems. + Provide expert medical advice to Medical Provider Appeals Analysts. Assist ... do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this position is a… more
- ChenMed (St. Petersburg, FL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... America's leading primary care provider , transforming care of the neediest population. Our mission...goals, and when leading their care teams towards their performance goals. We are an outcomes-focused, value-based organization and… more
- Humana (Clearwater, FL)
- …sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , MarketPoint Sales will supervise Medicare Sales Field Agents who ... community and help us put health first** Our Senior Manager , MarketPoint Sales motivates and drives a team of..., MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
- CenterWell (Land O' Lakes, 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
- Deloitte (Tampa, FL)
- …for managing, enabling and executing the US Deloitte LP health & welfare plans. As a Manager , you will lead and provide support for the operation of health and ... Manager , Benefits (Health and Welfare) Recruiting for this...documents and system configuration You will regularly interface and provide guidance to multiple carriers, external vendors, the internal… more
- Elevance Health (Tampa, FL)
- …organization with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. ** Manager I Utilization Management** **Location:** ... model with PulsePoint sites used for collaboration, community, and connection. The ** Manager I Utilization Management** is responsible for the daily management of… more
- Harmony United Psychiatric Care (Tampa, FL)
- …on healthcare management, compliance with federal healthcare laws (eg, HIPAA, Medicare /Medicaid regulations), and employment practices. + Provide clear, concise, ... Company: Harmony United Psychiatric Care Job Title: Inhouse Counsel / Manager Legal, Compliance & Risk Management / Outpatient Clinics / Full-time Employment / Tampa… 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