• Director Monitoring and Auditing

    AdventHealth (Orlando, FL)
    …applicable Federal, State, and local regulatory and/or accrediting agencies including Medicare, Medicaid , and the OIG. The Director is conversant on generally ... Drug program requirements, and HIPAA laws and regulations. The Director actively participates in outstanding customer service and accepts responsibility in… more
    AdventHealth (10/07/25)
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  • Medical Director (AZ)

    Molina Healthcare (FL)
    …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... of the criteria for medical necessity. + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the… more
    Molina Healthcare (10/17/25)
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  • Health Information Management Director

    HCA Healthcare (Sebring, FL)
    …join an organization that invests in you as a Health Information Management Director ? At HCA Florida Highlands Hospital, you come first. HCA Healthcare has committed ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...We are looking for a dedicated Health Information Management Director like you to be a part of our… more
    HCA Healthcare (08/08/25)
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  • Program Director (Provider Data…

    Molina Healthcare (Miami, FL)
    …driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader ... process, and technology + Managing cross-functional programs focused on data integrity , workflow optimization, and service delivery + Overseeing implementation of… more
    Molina Healthcare (09/04/25)
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  • Program Manager

    WestCare Foundation (Miami, FL)
    …Position Summary: The Mobile Response Team Program Manager oversees daily program operations; assists the Program Director training new employees ... program manager is responsible for keeping the Program Director and the Director ...served are in compliance with agency, state, Joint Commission, Medicaid and/or other rules and standards, guidelines and regulations.… more
    WestCare Foundation (10/16/25)
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  • Registered Nurse Specialist

    MyFlorida (Tallahassee, FL)
    …as indicated by. Shares assessments and reports, as appropriate, with MFC program stakeholders. For fee-for-service (FFS) Medicaid clients, completes MFC ... program activities in electronic documentation system in accordance to program requirements. Assists MFC parents with navigating Medicaid enrollment… more
    MyFlorida (10/18/25)
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  • Manager, Special Investigation

    CVS Health (Tallahassee, FL)
    …years of leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity , Medicaid Special Investigation or Medicaid / Medicare ... Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes… more
    CVS Health (10/19/25)
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  • Manager, Care Services

    The ALS Association (Jacksonville, FL)
    …Care Services Manager you will be responsible for the management of care services program which may include but not limited to ensuring the uniform delivery of high ... as appropriate to meet the needs of the group + Work with Managing Director Care Services/Care Services Director , and care services staff, to manage… more
    The ALS Association (10/16/25)
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  • Advanced Practice Registered Nurse

    MyFlorida (Pensacola, FL)
    …Family Practice, works under the direct supervision of the Health Medical Executive Director , providing direct client services fulfilling Medicaid , Title X and ... performed under the supervision of the Health Medical Executive Director . This is an advanced, specialized, and highly responsible...to those who need to know and protects the integrity of assigned dataset(s) and assists the Security Coordinator… more
    MyFlorida (10/16/25)
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  • Chief Financial Officer- County Health Dept…

    MyFlorida (Fort Lauderdale, FL)
    …SPECIFIC RESPONSIBILITIES: This is a highly responsible position reporting to the Director of the Broward County Health Department. The position is responsible for ... for the financial and administrative services programs. BUDGET: Supervise the Budget Director . Oversee the development of the annual budget request and approved… more
    MyFlorida (07/31/25)
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