• Medicaid Eligibility Manager

    Cognizant (Tallahassee, FL)
    …acting as a liaison among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of ... will lead employees who are working on-site at client locations throughout the USA and remote WFH associates. This position is WFH and requires some travel to be on… more
    Cognizant (05/29/25)
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  • Sr. Program Manager - Healthcare Enrollment…

    Molina Healthcare (FL)
    …collaborator responsible for operation projects and programs involving enrollment and eligibility + Works with cross-functional teams and IT and business subject ... needs, support to other business units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends and provides… more
    Molina Healthcare (04/17/25)
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  • Senior Functional Business Consultant/ Regulatory…

    Prime Therapeutics (Tallahassee, FL)
    …Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional Business Consultant serves as a ... flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance… more
    Prime Therapeutics (04/25/25)
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  • Field Reimbursement Manager

    Amgen (Orlando, FL)
    …and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Orlando, FL** **Live** **What you will do** The Tezspire Field ... Reimbursement Manager (FRM) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ). + Serve as a payer expert for defined… more
    Amgen (05/22/25)
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  • Senior Case Manager

    Cardinal Health (Tallahassee, FL)
    …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning… more
    Cardinal Health (04/29/25)
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  • Business Compliance Manager (Aetna SIU)

    CVS Health (Tallahassee, FL)
    …compliance with state regulations and contractual requirements. _Flexible on location and remote opportunity in many locations._ **What You Will Do** + Lead a ... Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. +...Knowledge of company policies and procedures. + Familiarity with Medicaid and Medicare plans. **Education** + Bachelor's degree in… more
    CVS Health (05/16/25)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …information from referring entity. Perform verification of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching ... of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare/ Medicaid criteria and Health Plan policies to ensure the referral meets all… more
    Humana (05/16/25)
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  • Coding Analysis Technology Specialist

    HCA Healthcare (Tampa, FL)
    …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... to giving back! **Strong inpatient coding experience preferred.** **This is a remote /work from home position.** **Benefits** Parallon offers a total rewards package… more
    HCA Healthcare (04/26/25)
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  • Inpatient Coding Mentor

    HCA Healthcare (Orange Park, FL)
    …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... **Description** **Introduction** This is a remote /work from home position. Do you want to join an organization that invests in you as a Coding Mentor? At Parallon,… more
    HCA Healthcare (04/10/25)
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  • Acute Care Outpatient Coder

    HCA Healthcare (Orlando, FL)
    …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... incredible team members over the course of three years. **This is a remote /work from home position.** **Flexible Schedule! Full-time 40 Hour Work Week!** **Must have… more
    HCA Healthcare (05/17/25)
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