- MyFlorida (Tallahassee, FL)
- …fast-paced, team based work environment. This position is located in the Bureau of Medicaid Program Finance (MPF). MPF manages and projects Florida's over $35 ... the Supplemental Payments Unit (SPU) housed within the Bureau of Medicaid Program Finance (MPF). The incumbent will work closely with internal stakeholders,… more
- AdventHealth (Altamonte Springs, FL)
- …or finance 10 years of relevant experience in healthcare finance , preferably in reimbursement including Medicare, Medicaid reimbursement and regulatory ... Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on supplemental … more
- Humana (Tallahassee, FL)
- …of financial operations for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting, and all audit ... **Key Responsibilities** + Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's Medicaid … more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
- Molina Healthcare (FL)
- …Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and ... impact of provider reimbursement changes + Provide data driven analytics to Finance , Claims, Medical Management, Network, and other departments to enable critical… more
- Insight Global (Orlando, FL)
- …Diploma/GED 5+ years Backend Reimbursement experience Cost reporting experience for Medicare/ Medicaid Appeals Experience filing state surveys + external reviews such ... WI, and S-10 Hospital/Healthcare (Not only MAC) Plusses: Bachelors degree in Accounting/ Finance related Previous experience with Lawson CPA We are a company… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …a great mission and culture? Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care)!_ Devereux provides mental and behavioral health ... for new MDs and ARNPs joining MMA plans. + Apply for Florida Medicaid numbers for providers during onboarding. + Complete special projects within designated… more
- Communities Connected for Kids (Port Saint Lucie, FL)
- …**EXPERIENCE:** Required: Prior experience in a nonprofit organization, accounting, and/or finance . Preferred: Prior experience with child welfare, Medicaid , the ... 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
- 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 ... due to occur in the future. Manages and responds to inquiries regarding Medicaid billing and primary care physician changes from foster parents, case managers,… more
- Humana (Tallahassee, FL)
- …and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to complex issues ... other business functions to implement formulary and medical strategies for the Medicaid line of business. + Utilizes broad understanding of pharmacy, managed care,… more