- Elevance Health (Tampa, FL)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or… more
- ChenMed (Tampa, FL)
- …preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
- Elevance Health (Tampa, FL)
- **Process Improvement Director -HEDIS** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director -HEDIS** will be responsible for enterprise HEDIS improvement and governance programs, with… more
- AdventHealth (Tampa, FL)
- …six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come . Awarded the Get With The Guidelines ... as a Primary Stroke Center. **The role you'll contribute:** The Executive Director will be responsible for: . Leading, planning, directing and coordinating the… more
- Molina Healthcare (Tampa, FL)
- …Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims * Knowledge of HMO, PPO, POS, MCO, Medicare , Medicaid, ... Market Place products, laws, rules and regulations **Preferred Education** * Master's degree **Preferred Experience** * Formalized training/experience in Health Care Insurance Fraud * Experience with Power BI, SAS, SQL other reporting software * ICD-10 CPT-4,… more
- AdventHealth (Tampa, FL)
- …and explain insurance benefits with confidence. Scan financial and medical documents into accounts. Obtain appropriate legal consent signatures. Professionally ... navigates multiple computer systems and applications with proficiency + Completes accurate Medical Record Number (MRN) search and selection process to avoid creating… more
- Bluestone Physician Services (Tampa, FL)
- …an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic ... (ACO) was the best performing ACO in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured by the overall savings per … more