- AdventHealth (Altamonte Springs, FL)
- …Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on supplemental ... Medicaid payments, provider taxes, Medicaid strategy development and implementation. Develops and implements company Medicaid strategy, both with leadership… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
- Humana (Tallahassee, FL)
- …of financial operations for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting, and all audit ... **Key Responsibilities** + Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's Medicaid … more
- HCA Healthcare (Jacksonville, FL)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Medicaid Eligibility Advocate with Parallon at HCA Florida Memorial Hospital you can ... you need to succeed in our organization. We are looking for an enthusiastic Medicaid Eligibility Advocate to help us reach our goals. Unlock your potential! **Job… more
- HCA Healthcare (Bradenton, FL)
- …each individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate with Parallon at HCA Florida Blake Hospital ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Medicaid Eligibility Advocate for our team to ensure that we continue to provide… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medicaid Pricing Actuary provides actuarial support across a broad range of actuarial and business ... needs for Medicaid product lines. The Actuary works on problems of...scope and complexity ranging from moderate to substantial. The Medicaid Pricing Actuary may be responsible for any combination… more
- Humana (Tallahassee, FL)
- …support across a broad range of actuarial, managerial, and business needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager in ... review and documentation. The Lead Actuary will be responsible for Medicaid -specific functions such as capitation rate review, drafting rate advocacy communications,… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT ... strategy. **This State Technology Lead role will cover the Michigan Medicaid /DSNP product lines along with one additional state.** **Responsibilities** **Market… more
- Elevance Health (Tampa, FL)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare ... encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data, identifying trends,… more