• Compliance Lead - Medicaid…

    Humana (Tallahassee, FL)
    …caring community and help us put health first** Humana Healthy Horizons is seeking a Compliance Lead ( Medicaid State Reporting) to ensure compliance with ... objectives to determine approach, resources, schedules, and goals. The Compliance Lead role will be responsible for...be responsible for the submission of reports for new Medicaid Integrated plans for the Medicaid State… more
    Humana (11/11/25)
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  • Medical Director - Dsnp /MMP

    CVS Health (Tallahassee, FL)
    …oversight of DSNP /MMP complex populations (Dual-Eligible Special Needs Plan / Medicare- Medicaid Plan) * Develop and lead clinical strategy and objectives for ... delivery system, utilization management, reimbursement methods and treatment protocols for DSNP /MMP and other complex health populations to optimize risk adjustment,… more
    CVS Health (10/15/25)
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  • Medical Director - Acute Rehab Team

    Humana (Tallahassee, FL)
    …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... how to operationalize this knowledge in their daily work specifically for DSNP . The Medical Director's work includes computer-based review of moderately complex to… more
    Humana (11/07/25)
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