Top 67 Medicare remote work from home Jobs in Tampa, Fl

Licensed Psychologist, Peer Reviewer - Remote in Florida
UnitedHealth Group —Tampa, FL
- $91,700 - $163,700 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
14d
REMOTE Revenue Cycle A/R Specialist (Hospital)(RCAR)
JTS Health Partners —Riverview, FL
- $22 - $25 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Senior level
- Profit sharing
- Paid holidays
Quick Apply
Florida Blue Insurance Agent
One Stop Shop Insurance —Saint Petersburg, FL
- $1,500 - $4,000 a month
- Part-time
- Hybrid work
- Office
- In-person
- Communication skills
- Work from home
- Flexible schedule
Quick Apply
Technical FinOps Analyst
Humana —Tampa, FL
- $89,000 - $121,400 a year
- Full-time
- Remote
- Azure
- Computer Science
- Mid-level
- Paid parental leave
- Paid holidays
6d
LPN - Advanced Care Planning Specialist, Remote
Aledade PBC —Tampa, FL
- $28.85 an hour
- 8 hour shift
- Remote
- Spanish
- Nursing
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Associate Product Owner
CCS —Clearwater, FL
- 8 hour shift
- HIPAA
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
Medicare Sales Field Agent - North Pinellas County
Humana —Clearwater, FL
- $31,800 - $123,800 a year
- Weekends as needed
- Local
- Public speaking
- Mid-level
- Paid parental leave
- Paid holidays
Medicare Sales Field Agent - CarePlus Pinellas/West Pasco County
Humana —Saint Petersburg, FL
- $31,800 - $123,800 a year
- Weekends as needed
- Microsoft Excel
- Local
- Public speaking
- Paid parental leave
- Paid holidays
6d
Internal Sales Associate - Remote (Field)
Solis Health Plans —Tampa, FL
- $40,000 - $45,000 a year
- Full-time
- Remote
- Spanish
- OSHA
- Computer literacy
- Health insurance
Quick Apply
Patient Health Advocate- VBC
Somatus, Inc. —Tampa, FL
- Full-time
- Spanish
- Microsoft Outlook
- Computer literacy
- Continuing education credits
- Health insurance
Registered Dietitian Nutritionist (Bilingual: Spanish)
POD Health —Tampa Palms, FL
- $30 - $35 an hour
- Full-time
- Spanish
- Computer literacy
- Clinic experience
- Paid holidays
- Health insurance
Quick Apply
5d
Licensed Medicare Insurance Agent (Remote)
HEALTHPLANONE, LLC —Brandon, FL
- Weekends as needed
- 18 years or older
- Mid-level
- High school diploma or GED
- Health insurance
Quick Apply
Cyber Security Engineer
Humana —Tampa, FL
- $89,000 - $121,400 a year
- Full-time
- Remote
- Azure
- Computer Science
- Mid-level
- Paid parental leave
- Paid holidays
5d
Lead, Offensive Security
Humana —Tampa, FL
- $142,300 - $195,700 a year
- Full-time
- Remote
- Azure
- AWS
- Travel
- Paid parental leave
- Paid holidays
Senior Cybersecurity Engineer
Humana —Tampa, FL
- $117,600 - $161,700 a year
- Full-time
- Remote
- Azure
- System design
- 3 years
- Paid parental leave
- Paid holidays
Senior AI Implementation Lead
Humana —Tampa, FL
- $80,900 - $110,300 a year
- Full-time
- Remote
- Azure
- Computer Science
- Databases
- Paid parental leave
- Paid holidays
Senior Storage Engineer
Humana —Tampa, FL
- $106,900 - $147,000 a year
- Full-time
- Remote
- Computer science
- 7 years
- Azure
- Paid parental leave
- Paid holidays
9d
Onsite Care Coordination Nurse
Humana —Clearwater, FL
- $71,100 - $97,800 a year
- Full-time
- Hybrid work
- Acute care
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
1d
Senior Application Architect
Humana —Tampa, FL
- $106,900 - $147,000 a year
- Full-time
- Remote
- Computer Science
- 3 years
- Master's degree
- Paid parental leave
- Paid holidays
Lead Solutions Architect
Humana —Tampa, FL
- $142,300 - $195,700 a year
- Full-time
- Remote
- Computer science
- Computer Science
- System design
- Paid parental leave
- Paid holidays

I want to receive the latest job alert for medicare remote work from home in tampa, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medicare remote work from home jobs near tampa, fl

Licensed Psychologist, Peer Reviewer - Remote in Florida

UnitedHealth Group -
Tampa, FL

Apply Now

Job Details

Full-time
$91,700 - $163,700 a year
14 days ago

Qualifications

Microsoft Excel
Microsoft Access
Microsoft Outlook
Pre-authorization review for utilization management
Microsoft Teams
Doctoral degree in psychology
Licensed Psychologist Credentials

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Psychologist Peer Reviewer is for an Outpatient Public Sector or Applied Behavior Analysis which involves applying clinical and benefit plan criteria to Commercial, Medicaid, and/or Medicare cases to make insurance benefit coverage determinations.

Services reviewed may include, but are not limited to, the following:

Traditional outpatient psychotherapy visits
State-specific Medicaid services (Psychosocial Rehabilitation, Targeted Case Management, Home Based Habilitation, Supported Employment, etc.)
Applied Behavior Analysis service requests

The Psychologist Peer Reviewer will also participate in consultations, staff meetings, and trainings; be responsible for composing and entering clinical determinations that comply with all federal, state, and local requirements; and perform other duties as required by the reviewer's manager

This is a full-time salaried position that requires availability to work a standard schedule: Monday through Friday (8:30am to 5pm CST)

If you are located in Florida, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

May conduct clinical reviews of the following type during a typical workday:
Requests service authorization that upon initial review which a Master's degree level employee is unable to authorize coverage
Ongoing outpatient care in cases where the member's length of stay or frequency of visits exceeds normative standards
Requests for non-standard outpatient services (e.g. ABA, Psychosocial Rehabilitation, an in-network accommodation)
Appeals of previously denied services

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Independently licensed doctoral level Psychologist (Ph.D. or Psy.D.) in the state of Florida
Ability to obtain additional state licensures to meet growing business needs
3+ years of post-licensure experience
Experience working with insurance companies to acquire authorizations, file claims, conduct peer reviews, etc.
Advanced proficiency using Microsoft Office Applications (Word, Outlook, TEAMS, Excel, and Access Database)
Proven ability to prioritize multiple demands within strict turnaround time requirements and track multiple state/business nuances for cases reviewed
Proven ability to work independently and collaborate with others on a clinical team
Proven advanced written and verbal communication and negotiation skills
Secure, private area of your home to set up an office, and access to a broadband ISP
Permanent residence in the state of Florida

Preferred Qualifications:

APA accredited training and internship
Experience working in a managed care setting
Experience with Public Sector (Medicaid/Medicare) services and HCPC codes/services
Clinical experience with Substance Abuse diagnoses

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

medicare remote work from home jobs in tampa, fl

Licensed Psychologist, Peer Reviewer - Remote in Florida

REMOTE Revenue Cycle A/R Specialist (Hospital)(RCAR)

Florida Blue Insurance Agent

Technical FinOps Analyst

LPN - Advanced Care Planning Specialist, Remote

Associate Product Owner

Medicare Sales Field Agent - North Pinellas County

Medicare Sales Field Agent - CarePlus Pinellas/West Pasco County

Internal Sales Associate - Remote (Field)

Patient Health Advocate- VBC

Registered Dietitian Nutritionist (Bilingual: Spanish)

Licensed Medicare Insurance Agent (Remote)

Cyber Security Engineer

Lead, Offensive Security

Senior Cybersecurity Engineer

Senior AI Implementation Lead

Senior Storage Engineer

Onsite Care Coordination Nurse

Senior Application Architect

Lead Solutions Architect

I want to receive the latest job alert for medicare remote work from home in tampa, fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected