- Humana (Tallahassee, FL)
- …in a medical management review organization such as Medicare Advantage, managed Medicaid , or Commercial health insurance + Experience with national guidelines, such ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Molina Healthcare (Jacksonville, FL)
- …evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring ... or above. + Extensive understanding of Medicare Advantage, ACA and Medicaid risk adjustment processes, including encounter data submission and deletion requirements… more
- MyFlorida (Tallahassee, FL)
- …of Florida, including in areas of criminal appeals, civil litigation, consumer protection, Medicaid fraud, and victims and civil rights. We invite you to visit our ... exposure to a broad range of topics including consumer issues, Lemon Law, Medicaid Fraud, identify theft, and more. This experience is valuable for promotion into… more
- Humana (Tallahassee, FL)
- …flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group Account members and create actionable and measurable ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Molina Healthcare (Tampa, FL)
- …or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + Strong leadership in a ... experts, and external resources. **PREFERRED QUALIFICATIONS:** + Integrated products ( Medicaid -Medicare) experience + Experience in regulatory regulations and monitoring… more
- Butterfly Effects (Orlovista, FL)
- …Behavior Technician $500 Sign on Bonus with active RBT Certification & Medicaid MULTIPLE POSITIONS AVAILABLE!! Butterfly Effects' Mission is to make a socially ... Minimum of High School diploma. College course work a plus + RBT Certification & Medicaid Provider number + A love and Passion for working with children + Interest… more
- CenterWell (Deerfield Beach, FL)
- …preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five years directly applicable experience ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Aveanna Healthcare (West Palm Beach, FL)
- …children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements in ... Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Actalent (Sunrise, FL)
- …+ Utilization review + Utilization management + InterQual + Milliman Commercial Guidelines + Medicaid + Medical management + Medicare + Managed care + Patient care + ... review concepts, including InterQual and Milliman Criteria. + Knowledge of Florida Medicaid Program and CMS Guidelines. + Proficient in word processing software,… more
- Communities Connected for Kids (Port Saint Lucie, FL)
- …and procedures + Conducts Pre-Service training with new hired staff, explaining the Medicaid program, Master Trust policies and procedures and the proper channels of ... organization, accounting, and/or finance. Preferred: Prior experience with child welfare, Medicaid , the Social Security Administration, and/or FSFN. Apply for this… more