Medicaid Director jobs in Florida

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Director, Provider Enrollment (Credentialing)
HealthCare Partners - 224 reviews - Saint Petersburg, FL 33702
Regulations including Medicare, Medicaid and NCQA and other accrediting bodies. Medical Group manages and operates medical groups and affiliated physician....
Director Provider Audit and Reimbursement
Novitas Solutions, Inc. - Jacksonville, FL 32224
Serve as Liaison with providers, Centers for Medicare & Medicaid Services (CMS), and the Appeals Support Contractor (ASC)....
Vice President, Communications & External Affairs
AmeriHealth Caritas - 193 reviews - Palm Beach Gardens, FL
Experience in Medicaid strongly preferred. Reporting to the Medicaid health plan Market President, the Vice President, Communications and External Affairs is...

Provider Network Consultant – Cost of Care Initiative Strate...

Humana - 2,354 reviews - Tampa, FL
RBRVS, DRGs, Per Diems, APCs and etc. for commercial, exchange, Medicare and Medicaid products. Be part of the Provider Contracting team at Humana where you...

National Contracting Manager

WellCare - 615 reviews - Tampa, FL 33634
Manages all assigned contracting activities for hospital, physician and ancillary providers in new states and expansion areas for Medicare and Medicaid. Sr....

Manager of Utilization Management

Beacon Health Options - 273 reviews - Miami, FL
Knowledge of Medicaid products is required. We are currently seeking a dynamic Manager of Utilization Management to join our team at our office in Miami,...

Director, Provider Relations, Sunrise, FL - 37233BR

Aetna - 1,987 reviews - City of Sunrise, FL
Assesses, develops, and organizes physician network for Florida Medicaid networks. Depth of knowledge of claims, accreditation, Florida Medicaid, provider...

Utlization Management Team Leader

Ultimate - 475 reviews - Fort Lauderdale, FL
Also a strong knowledge of medical terminology, CPT & ICD-10 Coding, and Medicare and Medicaid requirements is very important!...
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BCBA / BCaBA - To be mentored by our Clinical Director BCBA

Full Spectrum Behavior Analysis - Sarasota, FL  +2 locations
$64 an hour
This location has Medicaid, Private insurance, and Private pay sources of clients. _Are you newly certified or new to working with children with special needs?...
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Program Specialist

United Cerebral Palsy of Miami - 6 reviews - Miami, FL 33125 (Flagami area)
Remain informed of periodic changes to the Medicaid Waiver Coverage and Limitations Handbook and help insure these changes are followed agency wide....
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Director of Compliance and Regulations

Interim HealthCare - 522 reviews - Miami, FL 33134
MACRA - Federal Center for Medicare and Medicaid Services (CMS) regulation compliances; RN - Manage of Compliance & Regulatory Affairs....

Clinical Operations Oversight - Manager

WellCare - 615 reviews - Tampa, FL 33634
Advanced Other Knowledge of NCQA, CMS, and state Medicaid requirements. Partners with key stakeholders across clinical and non-clinical departments during...

Business Office Manager

Consulate Health Care - 397 reviews - Seminole, FL  +3 locations
Manage the Medicaid pending application and conversion process to ensure timely resolution. Responsible for all patient related accounts receivable balances...
President Community Care of Florida
AmeriHealth Caritas - 193 reviews - Palm Beach Gardens, FL
Fosters constructive positive relationships between Prestige Health Choice and the community of Medicaid providers....
Chief Operating Officer
InnovaCare Health - Miami, FL
Knowledge of CMS regulations (Medicare and Medicaid), MSO, Federal regulations. Chief Operating Officer*....
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