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Operations Director
MedHOK - 13 reviews - Tampa, FL 33606
Knowledge of CMS, state and federal regulations and laws impacting Medicaid Managed Care desirable. As one of the fastest-growing, most innovative software...
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Pharmacy Quality Improvement - Director
WellCare - 672 reviews - Tampa, FL 33634
Manages corporate QI Trilogy documents for Medicaid / Medicare and UMAC/QIC across entire pharmacy organization for all lines of business;...
Director of Finance
Central Florida Inpatient Medicine - Orlando, FL
Knowledge of Medicare, Medicaid, Commercial and other medical insurance programs. Director of Finance....
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Director, STARS (Medicare)

Sunshine State Health Plan - 439 reviews - City of Sunrise, FL
Knowledge of Center for Medicare/Medicaid Services, requirements for Special Needs Plans (SNP), Medicare Medicaid Plans (MMP) and NCQA oversight requirements...

Director, Reimbursement

Tampa General Hospital - 348 reviews - Tampa, FL
Under the general supervision of the Director of Reimbursement, provides support to the Department of Reimbursement by coordinating and managing the annual...

Service Vice President - CarePlus Health Plans

Humana - 2,654 reviews - Tampa, FL
Dual Eligible Outreach & Social Services Support – oversight of internal dual eligible outreach and assistance program focused on assisting members in obtaining...

Vice President, Operations - Envolve Dental

Envolve Dental - 439 reviews - Tampa, FL
We currently have 2.5 - 3 million members over 14 states, including Medicaid, Medicare, and Marketplace. Oversee business operations, procurement opportunities,...

AvMed Director, Compliance

AvMed Health Plans - 40 reviews - Fort Lauderdale, FL
The position also serves as the official Medicare Compliance Officer in interactions with the Centers for Medicare & Medicaid Services on behalf of AvMed....

Director, Enrollment and Billing

Healthfirst - 631 reviews - Lake Mary, FL
This role ensures that Healthfirst exceeds our member’s expectations and remains regulatory compliant with all Centers for Medicare & Medicaid Services (CMS)...

Director, Product Development

Envolve Pharmacy - 439 reviews - Orlando, FL
Individual and/or Commercial, Medicaid, Medicare experience strongly preferred. Oversee the entire life cycle of new product development from initial concepts...

Director, Managed Care

Mount Sinai Medical Center - Florida - 32 reviews - Miami Beach, FL
Stay abreast of industry trends related to PPACA, Medicaid Reform, Physician Employment Models, Shared Savings Initiatives, JOA's etc to secure the Medical...

Vice President, Clinical Services

Oglethorpe, Inc. - Tampa, FL
Knowledge of managed healthcare reimbursement requirements, Medicare and Medicaid standards, The Joint Commission standards, and regulatory requirements for...
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BCBA or BCaBA - Daytime Hours - Mentorship by Director BCBA

Full Spectrum Behavior Analysis - Sarasota, FL
$64 an hour
This location has Medicaid, Private insurance, Grant, and Private pay sources of clients. _Are you newly certified or new to working with children with special...
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Vice President of Sales and Marketing (Southeast Region)
INDEPENDENT LIVING SYSTEMS, LLC - Doral, FL
Experience in Medicaid, Medicare Advantage, Duals and MLTSS. Independent Living Systems (ILS) is a growing Miami, FL-based health care company that provides an...
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Director, Enrollment and Billing
Healthfirst - 631 reviews - Lake Mary, FL
This role ensures that Healthfirst exceeds our member’s expectations and remains regulatory compliant with all Centers for Medicare & Medicaid Services (CMS)...

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