- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Centene Corporation (Tallahassee, FL)
- …new business to ensure compliance with health plan, state, and provider contract requirements. + Research, define, and manage business specifications for system ... and specifications to accommodate regulatory or business changes. + Conduct contract reviews to identify and operationalize new or changing requirements (eg,… more
- Molina Healthcare (FL)
- …leadership to healthcare services function - providing support for project /program/process design, execution, evaluation and support, and ensuring compliance with ... (LMFT). Clinical licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed, license must… more
- Molina Healthcare (Orlando, FL)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
- Elevance Health (Tampa, FL)
- …is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid ... programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and … more
- MyFlorida (Tallahassee, FL)
- …will be given to applicants with these or similar certifications: PMP, certified contract manager , ISTQB Foundation, ISTQB Advanced Test Manager Benefits ... (FX). This position serves as back-up to the TCOE Manager and communicates test information to the FX Enterprise... and communicates test information to the FX Enterprise Project Management Office (EPMO) program managers, agency executives and… more
- Elevance Health (Tampa, FL)
- …is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid ... programs. The **Audit and Reimbursement II** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and … more