• Medicaid Waiver Liaison

    MyFlorida (Miami, FL)
    …This is a professional position in the Home and Community- Based iBudget Medicaid waiver unit . This position has primary responsibility for conducting medical ... system within the established policy and procedures. Performs duties to support the Regional Medicaid Waiver Unit , including but not limited to, working with … more
    MyFlorida (09/05/25)
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  • Eligibility Supervisor - SES

    MyFlorida (Opa Locka, FL)
    ELIGIBILITY SUPERVISOR - SES - 60040300 Date: Aug 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 859886 Agency: Children and Families Working Title: ELIGIBILITY SUPERVISOR - SES - 60040300 Pay Plan: SES Position...Miami-Dade County (North Operations Area). Managing a Generic Eligibility Unit or Clerical staff and customer flow in an… more
    MyFlorida (08/29/25)
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  • Eligibility Supervisor - SES

    MyFlorida (Orlando, FL)
    ELIGIBILITY SUPERVISOR - SES - 60047408 Date: Aug 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 847012 Agency: Children and Families Working Title: ELIGIBILITY SUPERVISOR - SES - 60047408 Pay Plan: SES Position Number: 60047408 Salary:… more
    MyFlorida (09/05/25)
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  • Supervisor , Member Outreach / MCO Training…

    Molina Healthcare (Jacksonville, FL)
    Molina Healthcare is hiring a Supervisor , Member Outreach, Training Specialist. This remote role will have a focus on spearheading, facilitating much of the training ... + Background Training + Managed Care background and/or is familiar with Medicare and Medicaid . + Process based, + Able to build forms and trainings in Canva,… more
    Molina Healthcare (09/04/25)
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  • Supervisor , Medicare Pharmacy…

    Molina Healthcare (St. Petersburg, FL)
    …drugs or other drugs requiring prior authorization. + Supervises pharmacy daily unit operations to ensure prompt and appropriate processing of requests for ... answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is present… more
    Molina Healthcare (08/13/25)
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  • Senior Data Base Analyst

    MyFlorida (Tallahassee, FL)
    …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals with access...data as needed for rate setting and other actuarial unit projects. *Actively seek to ensure data integrity and… more
    MyFlorida (08/30/25)
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  • Research & Statistics Consultant

    MyFlorida (Tallahassee, FL)
    …ideas to supervisor . * Maintain up-to-date knowledge of the Florida Medicaid data systems, including Florida Medicaid Management Information Systems (FMMIS), ... entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000...requests related to rate setting and other actuarial services unit projects and tasks. * Represent AHCA in meetings… more
    MyFlorida (08/30/25)
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  • Law Enforcement Investigator II

    MyFlorida (Orlando, FL)
    …II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando, Florida. Pay:$60,000.20 - $62,425.00 Annually ... candidates with healthcare fraud investigative experience working in a Medicaid Fraud Control Unit , or five (5)...(application) must be completed in its entirety. + Include supervisor names and phone numbers for all periods of… more
    MyFlorida (08/27/25)
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  • Financial Administrator - SES

    MyFlorida (Tallahassee, FL)
    …supervising the Graduate Medical Education Unit (GMEU) and the Supplemental Payments Unit (SPU) housed within the Bureau of Medicaid Program Finance (MPF). ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
    MyFlorida (08/30/25)
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  • Eligibility Specialist

    Communities Connected for Kids (Port Saint Lucie, FL)
    …removal for every child that enters Out of Home Care. Enrolls each new Medicaid enrollee in the Sunshine Child Welfare Specialty Plan. Refers children who may meet ... documentation when a case is referred to the adoption unit or when an ICPC is due to occur...in the future. Manages and responds to inquiries regarding Medicaid billing and primary care physician changes from foster… more
    Communities Connected for Kids (08/22/25)
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