- MyFlorida (Fort Lauderdale, FL)
- …POSITION: COMMUNITY AND SOCIAL SERVICE MANAGER II - Selected Exempt Service (SES) WORKING TITLE: Provider Development Manager POSITION NUMBER: 67032206 ... PROVIDER DEVELOPMENT MANAGER - 67032206 Date: Nov 18,...all existing enrolled iBudget waiver providers and ensures that Medicaid Waiver Service Agreements are renewed prior… more
- University of Miami (Miami, FL)
- … provider fidelity, allowing the Lead Implementation Coach (LIC) and Provider Coach (PC) to continue to provide coaching and technical assistance to ... meet Florida Early Steps' policy requirements. + Collect and review direct service provider enrollment paperwork for manager's final approval. + Ensure… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader… more
- Molina Healthcare (Miami, FL)
- …+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Tallahassee, FL)
- …community and help us put health first** As an Enterprise Transformation Lead within Humana's Shared Services organization supporting the Insurance Segment, ... consultation to senior leaders. Serve as a Enterprise Transformation Lead - Process Engineer supporting Shared Services ...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- CenterWell (Tallahassee, FL)
- …and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management ... and help us put health first** The Program Management Lead , Offshore Coding Operations conducts quality assurance audits of...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- CVS Health (Tallahassee, FL)
- …(grievance) issues. * Actively participate in or lead quality and/or member/ provider service -focused committees. * Provide clinical leadership in ... clinical oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare- Medicaid Plan) * Develop and lead clinical strategy and… more
- Molina Healthcare (St. Petersburg, FL)
- … Lead Analyst, Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. Supports existing lines of ... business and expansion into new states. The Lead Analyst, Reimbursement will be primarily responsible for implementation, maintenance, and support of provider … more