- MyFlorida (Tallahassee, FL)
- …SNAP (Food Assistance), D-SNAP (Disaster Food Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. OPBI is also responsible ... history checks through local law enforcement agencies. Employees will be retained in state and national RAP Back program , providing real-time arrest hit… more
- Molina Healthcare (Tampa, FL)
- …a managed care organization ( Medicaid , Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting. * Completion of ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and… more
- Public Consulting Group (Tallahassee, FL)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- BayCare Health System (Clearwater, FL)
- …Administration) Florida Medicaid payment systems and staying current on all government regulatory changes and CMS/Federal and State proposals to change ... levels of management. + This position is responsible for government payer reimbursement related to Medicare, Medicaid ...papers and filing of the reports via HFS software program (or equivalent) as well as working with the… more
- Humana (Sanford, FL)
- …through service, organizations, volunteer work or local events. + Valid state **driver's license** and **proof of personal vehicle liability insurance** meeting ... at least 25/25/10 coverage limits (or higher, based on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . +… more
- Centene Corporation (Tallahassee, FL)
- …license as a MD or DO without restrictions, limitations, or sanctions from government programs . Full-time Pay Range: $231,900.00 - $440,500.00 per year Centene ... expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state , corporate, and accreditation… more
- COOLSOFT (Tallahassee, FL)
- …state government /public sector experience with health and human services programs preferred (such as Medicaid , MMIS, claims processing, eligibility, HHS ... analytics, SNAP, etc.). * Working knowledge of government regulations as they pertain to the advance planning document writing process. * Strong communication and… more
- Evolent (Tallahassee, FL)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more
- Evolent (Tallahassee, FL)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Humana (Tallahassee, FL)
- …contract requires US Citizenship + Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services) + HGB ... authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates...care service experience or working knowledge of TRICARE ACD program . + Healthcare professional with a Bachelor's degree in… more
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