• Medicaid Management Review

    MyFlorida (Tallahassee, FL)
    68059454 - MEDICAID MANAGEMENT REVIEW MONITOR Date: Jul 2, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. ... No: 832608 Agency: Agency for Health Care Administration Working Title: 68059454 - MEDICAID MANAGEMENT REVIEW MONITOR Pay Plan: Career Service Position… more
    MyFlorida (07/03/24)
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  • Managing Consultant - Medicaid Solutions…

    Mathematica (Tallahassee, FL)
    …clients' pressing problems and improving operations, and a strong interest in our Medicaid project area. Managing consultants often work on more than one project at ... with projects that align with their interests and skills. Projects in the Medicaid area provide technical assistance to federal and state agencies, convene learning… more
    Mathematica (06/06/24)
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  • Data & Reporting Business Analyst - Louisiana…

    Prime Therapeutics (Tallahassee, FL)
    …make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** Serves as liaison between departmental team business ... to ad hoc requests for support, reports and analysis. Supports departmental management team by providing trending and performance data. Supports special projects.… more
    Prime Therapeutics (06/26/24)
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  • Senior Management Analyst Supv - SES

    MyFlorida (Tallahassee, FL)
    …software, required for the position: Requires a Knowledge of Administration and Management techniques. Requires the ability to monitor processes. Requires the ... SENIOR MANAGEMENT ANALYST SUPV - SES - 60073726 Date:...responsible for the selection, training and supervision of operations review specialists who conduct administrative hearings for the Department's… more
    MyFlorida (07/05/24)
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  • Director Clinical Account Services DC Sole Source…

    Prime Therapeutics (Tallahassee, FL)
    …data management and overall healthcare trends specific to the Medicaid population. **Job Description** + Partners with appropriate staff in the identification, ... experience. + 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical...Proven ability to plan, organize, schedule, direct, control and monitor project activities. + Project management experience… more
    Prime Therapeutics (05/25/24)
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  • Senior Compliance Administrator

    Centene Corporation (Tallahassee, FL)
    …Health Plan (Sunshine Health Plan) at meetings with the State Department of Medicaid and the State Department of Insurance, helping to shape policy. **_Note: ... and ensure accurate and timely communication to all departments. + Assist management with enforcement and discipline in appropriate instances of non-compliance. +… more
    Centene Corporation (06/19/24)
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  • Client Audit Analyst

    Prime Therapeutics (Tallahassee, FL)
    …Client Audit Analyst **Job Description** As a member of the Client Audit Management (CAM) team, the Client Audit Analyst supports the planning, preparation, and ... for supporting the development, maintenance, and implementation of Client Audit Management policies, procedures, training and program documentation related to audit… more
    Prime Therapeutics (07/02/24)
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  • Government Operations Consultant II - 1

    MyFlorida (Tallahassee, FL)
    …of all data exchanges. + Maintains secure and highly confidential data management systems that captures data concerning consumer services, type, and amount of ... SSA benefits received, other public assistance (food stamps, TANF), Medicare/ Medicaid , and eligibility for program participation. Maintenance, access and use of the… more
    MyFlorida (06/26/24)
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  • Administrative Services Manager I

    MyFlorida (Tallahassee, FL)
    …Information System (FIS), Florida Accounting and Information Resource System (FLAIR), Medicaid Cost Base Reimbursement, Health Management System (HMS), ... other State health offices to analyze, develop training materials, review and develop administrative procedures, coordinate/conduct statewide and CHD specific… more
    MyFlorida (07/04/24)
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  • Risk Adjustment-Claims & Data Analytics

    CVS Health (Tallahassee, FL)
    …affordable. Position SummaryThe Purpose of the Manager, Business Consultation job is to monitor and manage day to day operations for Commercial Accountable Care Act ... as appropriate. + Confers internally and externally with clients and senior management regarding the organization's goals and objectives. + Coaches the internal and… more
    CVS Health (05/30/24)
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