- CenterWell (Tallahassee, FL)
- …of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This ... contracts, as well as to identify opportunities and implement program improvements to enhance our member and customer experience....affairs teams, sales teams define overall strategy for each Medicaid state + Work with market partners to perform… more
- Molina Healthcare (St. Petersburg, FL)
- …QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... combination of relevant education and experience. + At least 3 years of Experience with Medicaid and/or...At least 3 years of Experience with Medicaid and/or Medicare. + Proven experience owning operational projects… more
- Molina Healthcare (Miami, FL)
- …including the ability to easily access and interpret these guidelines. + At least 3 years of Experience with Medicaid and/or Medicare. + Proven experience owning ... goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits &… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...combination of relevant education and experience. + At least 3 years of Experience with Medicaid and/or… more
- CVS Health (Tallahassee, FL)
- …leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of… more
- Prime Therapeutics (Tallahassee, FL)
- …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
- Molina Healthcare (Jacksonville, FL)
- …+ years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing responsibility. + 3 + ... vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business....Experience** + 5+ years of managed healthcare experience, including 3 or more years in one or more of… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …Center is looking for recruit for an Registered Nurse - Supervisor/Assistant Nurse Manager , for our Nursing Nursing GEC who functions as a clinical expert and ... comprehensive total rewards package: VA Nurse Total Rewards The Nursing Supervisor/Assistant Nurse Manager for MDS is located at Nursing GEC section at the Miami VA… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …inspired by helping others reach their potential? Join Devereux as a Revenue Cycle Manager !_ We are seeking a dynamic, positive Revenue Cycle Manager who ... the better! Located in Orlando, FL the Revenue Cycle Manager will be responsible for monitoring and reporting on...analysis. + Ensure accurate billing and claims submission for Medicaid , Managed Care, and other third-party payors + Hiring… more
- HCA Healthcare (Orlando, FL)
- …to be a part of our team. **Job Summary and Qualifications** As Reimbursement Manager , you will complete Medicare and Medicaid cost reports to obtain appropriate ... an organization that invests in you as a Reimbursement Manager ? At HCA Healthcare, you come first. HCA Healthcare...wellbeing + 401(k) Plan with a 100% match on 3 % to 9% of pay (based on years of… more