- CVS Health (Coral Gables, FL)
- …- Miami Dade or Broward County** **Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, ... by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service,...Provider Appeals & Disputes, and Network Performance Standards. + Experience in Medical Terminology, CPT,… more
- AdventHealth (Davenport, FL)
- …been serving the community for over 50 years. As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, new ... contribute:** The ANM is a registered professional nurse who supports the Nurse Manager or Director in overall operations of their assigned unit.Is able to… more
- AdventHealth (Lake Wales, FL)
- …been serving the community and surrounding areas. As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, ... contribute:** The ANM is a registered professional nurse who supports the Nurse Manager or Director in overall operations of their assigned unit.Is able to… more
- Molina Healthcare (Orlando, FL)
- …Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers. **Strategic Business ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more