Medicare Jobs in Miami
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Search Results - Medicare Jobs in Miami
Solis Health Plans-Miami
Computer Science, Healthcare administration or related field.
• 2+ years of experience working with EDI, Healthcare data, encounters, and claims.
• Experience working with Medicare Advantage data, CMS reporting, and requirements.
• Strong SQL skills...
PSI Groups-Miami
Sales pros: this could be one of the most underrated opportunities in financial services right now.
The life insurance industry is shifting quickly.
Millions of families are still without adequate coverage. A wave of veteran agents is heading into...
Nightingale Home Healthcare-Miami
of patients through our Medicare-certified home health agencies.As we continue our aggressive growth throughout Broward County, including expansion into Palm Beach County, we are seeking an exceptional healthcare sales professional who has consistently...
appcast.io -
PSI Groups-Miami
Sales pros: this could be one of the most underrated opportunities in financial services right now.
The life insurance industry is shifting quickly.
Millions of families are still without adequate coverage. A wave of veteran agents is heading into...
Avanciers LLC-Miami
criteria to determine appeal outcomes.
• Ensures timely resolution in accordance with CMS, NCQA, Medicare, Medicaid, and state regulatory requirements.
• Documents clinical rationale and coordinates with Medical Directors on complex cases.
Qualifications...
Strategic Staffing Solutions-Miami
Medical Claims Specialist II (COB & Medicare Coordination)
Remote Work
Pay: $20/hr
5. Month Contract
We are seeking an experienced Medical Claims Specialist II with strong knowledge of medical claims processing and Coordination of Benefits (COB...
Insight Global-Miami
Familiarity with CMS guidelines and Medicare Advantage requirements
Nice to Have Skills & Experience
• Medicare Advantage Risk Adjustment experience
• Experience working with CMS-HCC models
• CRC (Certified Risk Adjustment Coder) certification...
Solis Health Plans-Miami
received through the Centers for Medicare & Medicaid Services (CMS) Complaint Tracking Module (CTM) are thoroughly researched, accurately documented, and resolved within established regulatory and organizational timeframes.
The analyst works...
Insight Global-Miami
customers with their Medicare enrollment and eligibility, and provide excellent customer service and support.
This is a 100% remote role working during the clients busy season, from October to mid January. Consultants are eligible for overtime rates...
mindmatch.ai -
Independent Living Systems-Miami
readmissions. Ultimately, the MMA Care Manager supports the organization's mission to provide high-quality, member-centered care within the Medicare Advantage framework.
Minimum Qualifications:
• Bachelor’s degree in Nursing, Social Work, Public Health...
Sentara Health-Miami
and execution of benefit configuration operations within the QNXT platform. This role manages the end-to-end benefit configuration lifecycle, ensuring accurate implementation and maintenance of Medicare, Medicaid, Commercial, and Exchange products in support...
Tria Federal (Tria)-Miami
Medicare & Medicaid systems & data.
• 5+ years of experience in healthcare domain is required.
• Experience with manual testing of software products.
• Creative, visionary, critical thinking, and problem-solving skills.
• Excellent oral and written...
Insight Global-Miami
Familiarity with CMS guidelines and Medicare Advantage requirements
Nice to Have Skills & Experience
• Medicare Advantage Risk Adjustment experience
• Experience working with CMS-HCC models
• CRC (Certified Risk Adjustment Coder) certification...
Senior Healthcare Advisors, LLC-Miami
About Us:
At Senior Healthcare Advisors, we are expanding our sales teams and looking for top talent to join us. With offices in Deerfield Beach, FL, and Pembroke Pines, FL, and remote agents across the country, we specialize in Medicare Advantage...
Insight Global-Miami
Familiarity with CMS guidelines and Medicare Advantage requirements
Nice to Have Skills & Experience
• Medicare Advantage Risk Adjustment experience
• Experience working with CMS-HCC models
• CRC (Certified Risk Adjustment Coder) certification...
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