- HCA Healthcare (Pensacola, FL)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... to accounts. Communicates any charge related issues to Charge Master Manager /Analyst. + Works all identified insurance requirement edits through the electronic… more
- Molina Healthcare (FL)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
- Elevance Health (Tampa, FL)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Actalent (Sunrise, FL)
- …management and utilization review concepts, including InterQual and Milliman Criteria, Florida Medicaid Program , and CMS Guidelines. + Knowledge of community and ... utilization. Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an interdisciplinary… more
- MyFlorida (Fort Pierce, FL)
- …15. This position will work in collaboration with the HAPC, HIV Lead Agency/QA team Manager , HIV/STD Program Manager and Patient care manager . This ... the lead linkage coordinator point of contact for Area 15 counties. Assist Prevention Program Manager to provide oversight to three Linkage to Care (LTC) staff.… more
- CenterWell (Apopka, FL)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... + Bachelor's Degree in applicable discipline + Familiarity with state Medicaid guidelines and application processes + Experience working with seniors' complex… more
- MyFlorida (Fort Lauderdale, FL)
- …within approved limits. Ensure the provision of training and support to program managers regarding budget development, monitoring and reports on an ongoing basis. ... The incumbent will serve as a Level 4 Budget Manager to include the preparation and monitoring of annual...the preparation and monitoring of annual budget for assigned program area. This will require reviewing and monitoring of… more
- Aveanna Healthcare (West Palm Beach, FL)
- …- $70,000.00 per year Position Details Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of ... Purchase Plan with a 15% Discount + Tuition Discounts and Reimbursement Program (conditions apply) + Nationwide Presence with Advancement Opportunities + Employee… more
- Elevance Health (Tampa, FL)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Medical Director** is responsible ... + Provides guidance for clinical operational aspects of a program . + Serves as a resource and consultant to...changes in healthcare. + Partner with The Center for Medicaid and Medicare Services (CMS) on inquiries and policy… more
- Elevance Health (FL)
- …performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an ... limited to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and… more