• Child Case Manager

    WestCare Foundation (Key West, FL)
    …cases of individuals and ensure effective linkage to service continuum. + Ensure review of required monthly monitoring reports in order to intervene in problematic ... sources; + Ability to maintain an active and up-to-date knowledge of Medicaid/ Medicare and Social Security disability application procedures. + Ability to organize,… more
    WestCare Foundation (07/24/25)
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  • Sr Specialist, Credentialing, Network and Payor…

    Cardinal Health (Tallahassee, FL)
    …preferred + Pharmacy Technician experience a plus, not required + Familiarity with Medicare and Medicaid + Proficient in Microsoft Office (Excel VLOOKUPS) + Strong ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
    Cardinal Health (07/24/25)
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  • Home Health Physical Therapist PT Full time

    Aveanna Healthcare (Gainesville, FL)
    …Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers + Maintain effective communication between staff, ... Health Therapy and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (07/24/25)
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  • Medical Billing Specialist Not a Remote Position

    National Health Transport (Miami, FL)
    …code and payer + Follow through with payers correspondence in a timely manner. + Review account status routinely as required for each payer type; minimum of 20 days. ... School Graduate/GED + Medical coding training and experience + Familiar with Medicare /Medicaid laws and billing + Certified Ambulance Coder helpful + Ambulance… more
    National Health Transport (07/23/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Tallahassee, FL)
    …and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
    CVS Health (07/19/25)
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  • Administrator in Charge, Nursing Support Services…

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... with healthcare regulations including those set by the Centers for Medicare and Medicaid Services (CMS), Joint Commission and other regulatory bodies/agencies.… more
    University of Miami (07/18/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Tallahassee, FL)
    …from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and ... prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical abilities, with a proven track… more
    Evolent (07/18/25)
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  • Quality Management Analyst 3

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... the mandates by state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that… more
    University of Miami (07/16/25)
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  • Telephonic Behavior Health Care Manager

    Humana (Hallandale Beach, FL)
    …Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (07/15/25)
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  • Call Quality Coach - Cantonese

    Humana (Tallahassee, FL)
    …Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (07/15/25)
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