- Molina Healthcare (Jacksonville, FL)
- …evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring ... influence across multiple organizational functions - Payment Integrity, Claims, Encounters, Finance , and Actuarial + Proven experience in managing complex projects,… more
- Molina Healthcare (St. Petersburg, FL)
- …analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care ... Advantage members, the HHS model for Commercial ACA members, the CDPS model for Medicaid members, and others as needed + Must have a strong attention to detail… more
- Humana (Tallahassee, FL)
- …and prepares statutory accounts, financial statements and reports. + Assists in Finance Department special projects, such as FTE trend analysis, payments to ... subcontractors, cost accounting, monitoring third party spend, and supporting monthly finance reviews. + Performs ad hoc requests from Senior Leaders, Operational… more
- BayCare Health System (Clearwater, FL)
- …forecasting, and regulatory compliance. The ideal candidate brings strong healthcare finance knowledge, sharp analytical skills, and the ability to work ... the Team:** + Analyze government reimbursement data and develop strategies for Medicare/ Medicaid Cost Reports + Prepare and review annual cost reports and ensure… more
- MyFlorida (Fort Lauderdale, FL)
- …standing as well as direction and supervision of administrative services ( finance and accounting, purchasing, budget, facilities, general services and vital ... Business Office quarterly to make any necessary budget adjustments. FINANCE ACCOUNTING: Oversee the operations of agency financial/accounting functions, including… more
- Humana (Tallahassee, FL)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- AdventHealth (Maitland, FL)
- …leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership, Finance /Accounting, physician practices and AH Physician Enterprise in order to ... research to obtain and maintain non-contracted payer reimbursement including Medicare, Medicaid , Tricare and other govt payers. * Responsible for ensuring accurate… more
- Molina Healthcare (Tampa, FL)
- …objectives. + Collaborate with cross-functional teams including Product, Sales, Compliance, Finance , and Clinical Operations to align strategy with execution. + ... or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + Strong leadership in a… more
- 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 ... Minimum of High School diploma. College course work a plus + RBT Certification & Medicaid Provider number + A love and Passion for working with children + Interest… more
- Molina Healthcare (St. Petersburg, FL)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
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