- AdventHealth (Maitland, FL)
- …coordinating depositions, and participation in any trial or hearing. . Audits existing Managed Care agreements for payer compliance with terms, timely ... This position will be responsible for execution of the managed care payor dispute resolution processes for...dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance . Experience in… more
- AdventHealth (Orlando, FL)
- …Understanding of CMS Conditions of Participation for Discharge Planning Understanding of Managed Care and Value Based Programs Ability to work autonomously ... 125,000 outpatients each year **The role you'll contribute:** The Care Management Facility Director has full accountability... Care Management department, including all aspects of care coordination, care transition and compliance… more
- Abbott (Orlando, FL)
- …blend of customer service, procedural knowledge, technical knowledge, reimbursement knowledge, and managed care focus in order to work effectively with both ... their health and get on with their lives. The Director , Revenue Cycle Management is the overall management responsibility...medical insurance billing and collections across Medicare, Medicaid and managed care including ICD-10 and HCPC coding… more
- AmeriHealth Caritas (Orlando, FL)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... **Medical Director , UM Review, Family Medicine** Location: Orlando, FL...within 3 months of employment. 5+ yrs clinical practice. UM/ Care Coordination exp. preferred. Your career starts now. We… more
- AdventHealth (Maitland, FL)
- …development of financial plans and interpreting financial results in relationship to managed care performance and enhance physician productivity and practice ... **Executive Director of Finance AdventHealth** **All the benefits and...Seeks out financial improvement opportunities within the organizations for managed care revenue, volumes, costs, efficiency and… more
- EssilorLuxottica (Orlando, FL)
- …focusing on enhancing Optometrist satisfaction. + Maintain EyeMed, Medicare, and managed care credentialing materials, and encourage participation of sublease ... Senior Director , Field Eyecare (Remote) Date: Jun 13, 2024...that impact the business or the Doctors and ensure compliance + Lead & empower team members to enhance… more
- AmeriHealth Caritas (Orlando, FL)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... for drug or drug therapies + Drive patient compliance by reviewing patient profiles, answering patient medical inquiries,...procedures + Perform other duties as assigned by the Care Manager Supervisor or the Director of… more
- AdventHealth (Orlando, FL)
- …delivery of patient care services, including but not limited to Medicare, Managed Care , Medicaid, third party providers, challenges to current health care ... for Children sets the standard for innovation, quality and comprehensive care . Our technologically advanced, flagship facility is designed by Walt Disney… more
- AdventHealth (Orlando, FL)
- …delivery of patient care services, including but not limited to Medicare, Managed Care , Medicaid, third party providers, challenges to current health care ... each year. **Unit Highlights:** + The Cardiac Medical Intensive Care Unit (located on the 5 th floor of...hospital experience. The NM is directly responsible to the Director of Nursing (DON) and Chief Nursing Officer (CNO)… more
- AdventHealth (Davenport, FL)
- …delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care ... Heart of Florida . AdventHealth Heart of Florida is a licensed 193-bed acute care hospital, coupled with outpatient services including imaging, rehab, lab and wound … more
- US Anesthesia Partners (Maitland, FL)
- …performed is in office environment + Involves frequent contact with professional staff and managed care organizations + Work may be stressful at times + ... processes. This role provides administrative support to the Human Resources Director as needed, including record-keeping, file maintenance and HRIS entry. This… more