- CVS Health (Tallahassee, FL)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... yourself and others) skills **Required Qualifications** * Commercial, Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient… more
- CVS Health (Tallahassee, FL)
- …Facilitates clinical hand offs during transitions of care. Reports to: Manager , Clinical Health Services **Required Qualifications:** . Active current unrestricted ... an integrated model . Experience providing care to the Medicaid population . Bilingual in Spanish **License/Credential Requirements:** ....for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- WestCare Foundation (Key West, FL)
- Child Case Manager Job Details Job Location Key West - 1205 4th - Key West, FL Position Type Full Time Education Level 4 Year Degree Salary Range $21.22 - $21.22 ... service to clients as outlined in the case management procedure manual in accordance program guidelines Essential Job Functions: + Provide a minimum of 115 hours of… more
- MyFlorida (Tallahassee, FL)
- …policy and planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care ... and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals...Plan Management Operations. This position serves as a contract manager and lead point of contact for their assigned… more
- US Tech Solutions (Miami, FL)
- …most appropriate level **Responsibilities:** + Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. + Utilizes ... healthcare treatment, effectively manage healthcare costs and improve healthcare program /operational efficiency involving clinical issues + Determines medical necessity/… more
- Molina Healthcare (Tampa, FL)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...including experience in Medicaid and/or Medicare, or equivalent combination of relevant education… more
- MyFlorida (Gainesville, FL)
- HUMAN SERVICES PROGRAM SPECIALIST - 64084211 Date: Aug 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 855100 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM SPECIALIST - 64084211 Pay Plan: Career Service Position Number: 64084211… more
- CenterWell (Port Saint Lucie, FL)
- …services within the Center. + Participates in the local primary care "on-call" program of Conviva Senior Primary Care. + Assures personal compliance with licensing, ... directly applicable experience + Successful completion of a nurse practitioner program with board certification + Active, unrestricted nurse practitioner license in… more
- CVS Health (Tallahassee, FL)
- …obtaining benefits and incentives. Your duties may also include assisting the primary Medicaid contract manager with special projects. This role reports to and ... in member advocacy, call center, health care environment, health benefits, or a Medicaid -related program . + Working knowledge of Microsoft Office products (Word,… more
- CVS Health (Tallahassee, FL)
- …and more compassionate. And we do it all with heart, each and every day. ** Program Summary** Join our Aetna care management team as we lead the way in providing ... (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you...for our members through close collaboration with the Care Manager , Social Worker, and other interdisciplinary team members. This… more