• Medicaid Member Services

    CVS Health (Tallahassee, FL)
    …technologies and processes. Responsible for the overall supervision of Customer Service employees. Accountable for member /provider satisfaction, retention, and ... years experience with member /call center environment. - 2 years leading member /customer service team. Preferred Qualifications - Experience in a Medicaid more
    CVS Health (05/16/24)
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  • Supervisor Inbound Contacts - Conviva…

    Conviva (Tallahassee, FL)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... and help us put health first** The Contact Center Supervisor is responsible for coaching/mentoring associates, performance management, quality/auditing processes,… more
    Conviva (06/08/24)
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  • Supervisor , Utilization Management

    Centene Corporation (Tallahassee, FL)
    …million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive ... LICENSURE.** **ROLE WILL HAVE A TEAM SUPPORTING HOME HEALTH, MEDICAID .** **Position Purpose:** Supervises Prior Authorization, Concurrent Review, and/or… more
    Centene Corporation (06/15/24)
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  • Government Analyst II

    MyFlorida (Tallahassee, FL)
    …Analyst II who desires to work to enhance the delivery of health care services through the Florida Medicaid Program. This position requires a candidate who ... entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000...supporting documentation with each submission that includes character of service (for example, DD Form 214 Member more
    MyFlorida (05/07/24)
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  • Government Operations Consultant II - - ESS Policy…

    MyFlorida (Tallahassee, FL)
    …Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with ... 60061311 - ESS Policy & Programs Pay Plan: Career Service Position Number: 60061311 Salary: $42,000 min to $52,000...eligibility. + Review the impact of proposed changes affecting Medicaid eligibility in federal statue and regulation, state law… more
    MyFlorida (06/11/24)
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  • Government Analyst II

    MyFlorida (Tallahassee, FL)
    …Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with ... position fulfills the operational requirements for the Ticket to Work Program and services provided to VR Program participants. Incumbent will be an analyst to… more
    MyFlorida (06/06/24)
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  • RN Care Manager (Remote)

    CVS Health (Tallahassee, FL)
    …a referral to clinical resources and other interdisciplinary team members.* Collaborates with supervisor and other key stakeholders in the member 's healthcare in ... sends a personal message that how we deliver our services is just as important as what we deliver....Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex… more
    CVS Health (05/03/24)
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  • Care Manager RN

    CVS Health (Tallahassee, FL)
    …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... Needs Plans (DSNP) members are enrolled in Medicare and Medicaid . Our Care Managers are frontline advocates for members...with members to evaluate the medical needs of the member to facilitate the member 's overall wellness.… more
    CVS Health (06/14/24)
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  • Case Manager RN

    CVS Health (Tallahassee, FL)
    …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... Needs Plans (DSNP) members are enrolled in Medicare and Medicaid . Our Care Managers are frontline advocates for members...with members to evaluate the medical needs of the member to facilitate the member 's overall wellness.… more
    CVS Health (06/14/24)
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  • Referrals Coordinator

    Humana (Tallahassee, FL)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... necessity as required or pending to a nurse or supervisor who can complete or request additional information. **Role...for government security clearance (NBIS - National Background Investigation Service ) + HGB is not authorized to do work… more
    Humana (06/13/24)
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