- AdventHealth (Altamonte Springs, FL)
- …activities. These activities include preparation and filing the annual Medicare, Medicaid , and Champus/Tricare cost reports; preparation of reopening and appeal ... operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a work… 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, ... oversight. + Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.… more
- Molina Healthcare (FL)
- …oversight. + Collaborate with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies. ... requirements, workflows, and solutions that drive measurable improvement. + Partner with finance and compliance to develop business cases and support reporting that… more
- Humana (Tallahassee, FL)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looking for long-term improvements of encounter submission processes. Begins to… more
- Prime Therapeutics (Tallahassee, FL)
- …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid … more
- Humana (Tallahassee, FL)
- …own and evolve our enterprise-wide Anaplan platform across both Workforce Planning ( Finance ) and Workforce Management (HR) domains. This role requires a rare blend ... of functional and technical expertise, deep understanding of Finance and HR business processes, and the ability to...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… 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. + ... commitment to Devereux. \#sponsored **Qualifications** **Education:** + Bachelor's degree in Finance , Business or related degree _required_ + 5+ yearsof experience… more
- Humana (Tallahassee, FL)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looks for long term improvements of encounter submission processes. Understands… more
- Humana (Tallahassee, FL)
- …business results across the CenterWell segment, both directly and through the Finance teams of each of the individual CenterWell businesses. This associate will ... to the enterprise. Key Responsibilities + Responsible for managing CenterWell level finance projects and / or deliverables that require input from multiple… 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