• Lead Analyst , Claims/ Regulatory…

    Molina Healthcare (Jacksonville, FL)
    …on researching, presenting and documenting is required, + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly ... preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience** 10+… more
    Molina Healthcare (06/18/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (FL)
    …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...experience. + At least 3 years of Experience with Medicaid and/or Medicare. + Proven experience owning operational projects… more
    Molina Healthcare (08/14/25)
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  • Revenue Integrity Charge Coder OR RN

    HCA Healthcare (Ocala, FL)
    …TX, UT, VA). Do you have the career opportunities as a Revenue Integrity Charge Analyst you want with your current employer? We have an exciting opportunity for you ... you want to work as a Revenue Integrity Charge Analyst where your passion for creating positive patient interactions...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
    HCA Healthcare (08/02/25)
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  • Membership Accounting Advocate

    Convey Health Solutions (Fort Lauderdale, FL)
    Job Description The Membership Accounting Analyst is responsible for the timely and accurate resolution of discrepancies identified in the Enrollment, Billing and/or ... Reconciliation processes. The analyst will review documentation, work items in queues and...for correction and submission to Centers for Medicare & Medicaid Services (CMS) + Review and complete Late Enrollment… more
    Convey Health Solutions (08/20/25)
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  • Managed Care Specialist (Finance)

    Devereux Advanced Behavioral Health (Orlando, FL)
    …mission and culture? Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care)!_ Devereux provides mental and behavioral health services ... for new MDs and ARNPs joining MMA plans. + Apply for Florida Medicaid numbers for providers during onboarding. + Complete special projects within designated… more
    Devereux Advanced Behavioral Health (09/05/25)
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  • Registered Behavior Technician RBT - Sign on Bonus…

    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 ... the opportunity to grow towards gaining Board Certified Behavior Analyst (BCBA) with guidance and financial assistance. + Children...College course work a plus + RBT Certification & Medicaid Provider number + A love and Passion for… more
    Butterfly Effects (08/22/25)
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  • Billing Specialist

    HCA Healthcare (Pensacola, FL)
    …to accounts. Communicates any charge related issues to Charge Master Manager/ Analyst . + Works all identified insurance requirement edits through the electronic ... reviewed based on specific insurance payor requirements. + Submit adjustment requests to Medicaid through online automated system. + Work the unbilled alert and comp… more
    HCA Healthcare (08/08/25)
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  • Physician-based Oncology Senior Complex Coder

    Banner Health (FL)
    …with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General ... and LCDs (Local Coverage Determinations) prior to referral to coding analyst , coding educator or coding manager/supervisor. MINIMUM QUALIFICATIONS High school… more
    Banner Health (09/05/25)
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