- Public Consulting Group (Tallahassee, FL)
- …. Summary: We are seeking a senior-level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join our team. This role involves ... background in data science, healthcare analytics, and a deep understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and… more
- Robert Half Office Team (Port St. Lucie, FL)
- …role, you will oversee eligibility processes, ensuring compliance with federal and state regulations, while managing a team of specialists. This position requires ... excellent organizational skills, a strong understanding of Medicaid eligibility, and the ability to provide effective leadership in a dynamic environment.… more
- MyFlorida (Tallahassee, FL)
- FAIR HEARING ATTORNEY - 67016588 Date: Oct 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... area it serves. The Benefits of Working for the State of Florida Working for the State ...the qualities of being humble, hungry, and smart and lead others to embody the same. This entails lacking… more
- Public Consulting Group (Tallahassee, FL)
- …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... sector. To learn more, visit www.publicconsultinggroup.com . Collaborating with our Technology Consulting team, you will help organizations streamline operations and… more
- Humana (Tallahassee, FL)
- …additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent ... of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/… more
- Humana (Tallahassee, FL)
- …us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead ) is responsible for overseeing the monitoring and enforcement of the Fraud, ... prevent and detect potential FWA activities in accordance with state and federal regulations. The individual in this position...position acts as the primary liaison for the Virgina Medicaid . They coordinate all Medicaid FWA activities… more
- Humana (Tallahassee, FL)
- …health first** Join Humana's Enterprise Architecture team to help modernize our technology landscape and deliver real business impact. We design, guide, and ... implement technology solutions that improve experience and outcomes for over...solutions with business priorities and deliver measurable outcomes. + Lead modernization efforts, including re-architecting legacy systems, driving cloud… more
- ChenMed (St. Petersburg, FL)
- …social needs and resources available in community resource database. ** Medicaid and other benefit eligibility assessments:** + Conducts appropriate assessment ... of needs and financial benefit eligibility. + Assesses patients for Medicaid criteria and assists with application process as needed. + Assists patients to obtain… more
- Humana (Fort Lauderdale, FL)
- …+ Maintain up-to-date knowledge of market research best practices and industry trends. + Lead and or support operational projects or items on behalf of the team ... strategy **Preferred Qualifications** + Experience in senior healthcare and/or Medicaid + Formal qualitative (1:1 interviews, focus groups) moderation experience… more
- Public Consulting Group (Tallahassee, FL)
- …expected to become familiar with education leaders as well as the issues that state and local education agencies are grappling with. This candidate will be evaluated ... a consultative approach to understanding and solving complex problems faced by state and local education agencies. The successful candidate will be responsible for… more
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