- Communities Connected for Kids (Port Saint Lucie, FL)
- …removal for every child that enters Out of Home Care. Enrolls each new Medicaid enrollee in the Sunshine Child Welfare Specialty Plan. Refers children who may meet ... in the future. Manages and responds to inquiries regarding Medicaid billing and primary care physician changes from foster...Assurance so medical needs can be immediately addressed before Medicaid is issued. Logs in to the uRefer system… more
- MyFlorida (Orlando, FL)
- …SNAP (Food Assistance), D-SNAP (Disaster Food Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. TO BE CONSIDERED FOR THIS ... + Must have at least 4 years' experience determining eligibility for Food Assistance, Medicaid , and Cash Assistance programs + Must have a valid driver's license. +… more
- MyFlorida (Tallahassee, FL)
- …The Agency is responsible for the oversight and administration of the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities ... of the Agency on legal matters related to the Medicaid program; interpret state and federal legislation related to... program; interpret state and federal legislation related to Medicaid to include review of bill analysis; draft and… more
- MyFlorida (Tallahassee, FL)
- …The Agency is responsible for the oversight and administration of the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities ... or her legal expertise to handle litigation, to research federal and state Medicaid issues, to conduct legal discovery, and to prepare legal pleadings and briefs.… more
- Humana (Tallahassee, FL)
- …may include national clinical guidelines, CMS policies and determinations, Medicaid state contracts, clinical reference materials, internal teaching conferences, and ... Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and Medicaid requirements, and will understand how to operationalize this knowledge in… more
- NHS Management, LLC (Daytona Beach, FL)
- …and other business office related tasks, including but not limited to: + Medicaid , Medicare and/or secondary billing + Assist with evaluation and selection of all ... + Other accounts receivable functions + Responsible for the completion of the Medicaid application process and timely submission to prevent delays in the attainment… more
- Humana (Tallahassee, FL)
- …and overall performance across the enterprise shared service functions and National Medicaid Operations functions serving the Medicaid segment. Partners with ... experience in health care process improvement, or project management, or operations ( Medicaid specific preferred) + 5+ years of experience in the healthcare industry… more
- MyFlorida (Fort Lauderdale, FL)
- …and maintenance of iBudget waiver applicants; issuance and renewal of Medicaid Waiver Service Agreements (MWSA), processing provider expansion requests, and ... APD iConnect. The Work You Will Do Review incoming Medicaid Waiver provider application packets and notify applicant of...Provider Terminations team. Draft, route and issue the initial Medicaid Waiver Service Agreements for those who meet AHCA… more
- Humana (Tallahassee, FL)
- …Business Intelligence Engineer position will be supporting BI work for our Medicaid organizations. The Humana CPSS Data & Analytics - BI (Business Intelligence) ... Engineer position will be supporting BI work for our Medicaid organizations. This individual will be responsible for: +...tools such as SSRS or SSIS + Knowledge of Medicaid or Medicare services + Advanced data analytics skills… more
- Molina Healthcare (Tampa, 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, ... Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience… more