- MyFlorida (Tallahassee, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... experience. This position is highly .responsible for accounting activities in the Medicaid Accounts Receivable (MAR) Unit, Recoupment Team of the Bureau of Financial… more
- MyFlorida (Tampa, FL)
- …by local area offices and central office. For fee-for-service (FFS) Medicaid clients, completes MFC child/youth social work assessments. Communication Provides ... of necessary MFC stakeholders including but not limited the MFC client's Medicaid Managed Medical Assistance (MMA) plan and CBC representative. Engages, advocates,… more
- CVS Health (Coral Gables, FL)
- …relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or ... contract coordination. + Performs credentialing support activities as needed. + Educates Medicaid providers as needed to ensure compliance with contract policies and… more
- MyFlorida (Tallahassee, FL)
- …Disabilities (Agency) in the area of consumer services and supports and Medicaid -related litigation in various forums before the Department of Children and Families ... will represent the Agency's regional and state office staff who determine program eligibility and levels of services and supports for the Home and Community-Based… more
- Amgen (Orlando, FL)
- …on how the products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined geography and promptly communicate ... + Experience with commercial payers, Medicare plans, and state Medicaid in a geographic region + Live in the...salary, Amgen offers a Total Rewards Plan, based on eligibility , comprising of health and welfare plans for staff… more
- 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. + ... pet insurance, plus student loan debt assistance and 30-day benefit eligibility waiting period for new hires!http://mydevereuxbenefits.org + **ASCEND - Tuition… more
- CVS Health (FL)
- …internal teams prior to the submission to the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... coding, and/or auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required. +… more
- CVS Health (FL)
- …including National Committee for Quality Assurance (NCQA) and state regulators for Medicaid and CHIP. Links the quality management activities to business goals by ... in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care - Must be analytical and able to interpret data - Must be… more
- Communities Connected for Kids (Port Saint Lucie, FL)
- …Completes the initial interview at the Social Security Administration for eligibility determination, redirection of benefits or application for Representative Payee ... and procedures + Conducts Pre-Service training with new hired staff, explaining the Medicaid program, Master Trust policies and procedures and the proper channels of… more
- MyFlorida (Pensacola, FL)
- …position in the Office of the Attorney General within the Medicaid Fraud Control Unit in Pensacola, Florida. Pay:$100,227.40 Annually Qualifications: Admission ... limited to the following: Represent the State of Florida in all Medicaid Fraud Cases, handle settlement negotiations, pleadings, depositions, pre-trial, jury and… more