• Ops Human Services Counselor III

    MyFlorida (Port Saint Lucie, FL)
    …and weekends as needed. + Experience working in a Nursing Home; Medicaid /Medicare eligibility or insurance processes. + Successful completion of the employment ... of the Business Office Manager. + Complete and submit Medicaid applications. + Provide knowledge of Medicaid benefits to families and residents. + Assist in the… more
    MyFlorida (08/30/25)
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  • Patient Financial Counselor

    HCA Healthcare (Bradenton, FL)
    …guidelines in all interactions with the patient + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to ... + Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications + Contact patient… more
    HCA Healthcare (08/29/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (St. Petersburg, FL)
    …director, and quality improvement staff. + Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements. + Reviews quality referred issues, ... license without restrictions to practice and free of sanctions from Medicaid or Medicare. **PREFERRED EDUCATION:** Master's in Business Administration, Public… more
    Molina Healthcare (08/28/25)
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  • Revenue Cycle Manager

    Devereux Advanced Behavioral Health (Orlando, FL)
    …and tables for data analysis. + Ensure accurate billing and claims submission for Medicaid , Managed Care, and other third-party payors + Hiring and training staff. + ... + Prior supervisory or management experience _preferred_ + Knowledge of Florida Medicaid , Florida Managed Care Plans, and third-party payer systems + Familiarity… more
    Devereux Advanced Behavioral Health (08/27/25)
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  • Business Intelligence Engineer II

    Humana (Tallahassee, FL)
    …a highly skilled and motivated Business Intelligence Engineer II to join our Humana Medicaid Data & Analytics - Business Intelligence (BI) team. This role is ideal ... Apps and/or Power + Proven experience working with both Medicaid and Medicare data sets + Demonstrated ability to...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (08/26/25)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare/ Medicaid criteria and Health Plan policies to ensure the referral meets all ... Office technical experience with Word, Outlook, and Excel + Knowledge of Medicare/ Medicaid & commercial insurance + Must be passionate about contributing to an… more
    Humana (08/23/25)
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  • Director, Provider Contracting

    Humana (Miami, FL)
    …Advantage HMO plans that have been awarded 5-Star ratings by the Centers for Medicare and Medicaid Services in each of the past two years, and three of the past five ... years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid , achieve their best possible health and wellness through plans with benefits and… more
    Humana (08/23/25)
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  • Health Information Specialist - 1

    MyFlorida (West Palm Beach, FL)
    …Well Family System (WFS); Healthy Beginnings Data System (HBDS); Florida Medicaid Management Information System (FMMIS); Change Healthcare (CHANGE); Vital Statistics ... Views and updates confidential information in HBDS, HMS and WFS. Confirm Medicaid eligibility for reimbursement and enters Medicaid Identification Numbers into… more
    MyFlorida (08/23/25)
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  • Patient Financial Counselor

    HCA Healthcare (Orange Park, FL)
    …guidelines in all interactions with the patient + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to ... + Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications + Contact patient… more
    HCA Healthcare (08/23/25)
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  • Lead Product Manager - Dual Population

    Humana (Tallahassee, FL)
    …practices, and design clinical solutions for members who have Medicare and Medicaid . The Lead Product Manager partners across various multi-disciplinary teams at ... members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (08/23/25)
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