Medical Director- Florida Medicare Plans - Miami

This role enables associates to work virtually full-time with maximum flexibility and autonomy.The Medical Director will support Florida Medicare plans including Simply Healthcare Plans Healthsun Plans Freedom Health and Optimum Healthcare Plans.May be responsible for developing ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy. · Suporte para trabajar remotamente con flexibilidad. · ...

Jackson Health System seeks a Provider Enrollment Specialist for its Managed Care Contracting and Enrollment department. The ideal candidate will have 3-5 years of related experience and a Bachelor's degree in a relevant field. · ...

Managed Care Provider Enrollment Specialist assists the Provider Enrollment leadership and the department in the daily activities of the managed care department with respect to the enrollment of employed physicians and credentialing of the employed physicians and other assigned p ...

Senior Advisors Institute (SAI) – Miami Office · Job Type: Independent Contractor (1099) · Compensation: Commission-based; competitive rates + renewals · Location: Miami, FL (On-Site Optional / Hybrid) · Compensation Breakdown: · $75–$150 paid for all new business clients (paid o ...

Job summary: · WYN Insurance is hiring licensed insurance agents to join as 1099 independent producers. This role is ideal for agents who want to build long-term income with multiple product lines (Medicare, ACA, Life and P&C) while using AI + automation to reduce admin work and ...

We're hiring experienced sales professionals to sell Medicare plans to inbound, qualified prospects. · This is not a starter job, not a script-reading role, and not a learn sales on the fly position. · If you know how to sell, follow process, and stay consistent this role pays we ...

The Associate Director of Revenue Cycle Management is responsible for overseeing and optimizing end-to-end revenue cycle operations with a strong focus on Medicare Advantage reimbursement models. · This role partners closely with clinical, finance, compliance, and operations team ...

Become part of our caring community and help us put health firstThe Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. · You will report to the Manager, Coding Education · South Florida · ...

The position is responsible for collaborating with a plan Case Manager (RN) on the ongoing assessment, planning, and evaluation of members in the Care Management Program(s). The incumbent acts as a liaison between patient/family and healthcare personnel to ensure that the necessa ...

Become a part of our caring community and help us put health first · As the Regional VP of Health Services, you will serve as the senior clinical executive responsible for shaping and executing the region's clinical engagement strategy. · ...

Analyze financial impact of contracts and terms.Maintain contracts and documentation within a tracking system. · Communicate contract terms, payment structures, reimbursement rates to providers internal and external membersNegotiate and maintain contracts with MSO or primary care ...

Become a part of our caring community and help us put health first.The Provider Contract Operations Specialist/ Provider Contracting Professional initiates physician contracts and agreements for an organization providing insurance. · Analyze financial impact of contracts · Maint ...

We are seeking licensed, experienced, and motivated Independent Medicare Insurance Agents to join our growing team. · ...

This is a full-time hybrid role for a Medical Director at Simply Healthcare Plans in Miami, FL, · (or other locations) with remote work.The Medical Director will be responsible for day-to-day tasks such as overseeing medical policies, · collaborating with physicians in various sp ...

The Case Management assistant provides daily support to the Clinical resource Management Department in the process of quality and utilization data necessary for the day-to-day operations of the dept. · ...

We're hiring experienced sales professionals to sell Medicare plans to inbound qualified prospects. · ...

The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. · ...

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The Associate Director of Revenue Cycle Management is responsible for overseeing and optimizing end-to-end revenue cycle operations with a strong focus on Medicare Advantage reimbursement models. · This role partners closely with clinical, finance, compliance, and operations team ...