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Medicaid Jobs in Miami

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Search Results - Medicaid Jobs in Miami
apartmentGainwellplaceMiamievent_available
Overview As the Application Architect, you will define and drive the architecture strategy and modernization for a large Medicaid account. You’ll lead governance across applications, cloud, data, integration, and security, aligning tech choices...
apartmentThe Elevance Health Companies, Inc.placeMiamilanguageappcast.ioevent_available
Anticipated End Date: 2026-10-23 Position Title: Behavioral Health Medical Director – Psychiatrist – Florida Medicaid Job Description Behavioral Health Medical Director – Psychiatrist – Florida Medicaid Location: This role enables associates...
apartmentCSpringplaceMiamievent_available
Overview In this role you will own Medicaid reporting deliverables end-to-end, translating federal/state guidance into clear business requirements. You will collaborate with state users and technical teams, facilitate workshops, and guide testing...
apartmentThe Elevance Health Companies, Inc.placeMiamilanguageappcast.ioevent_available
Elevance Health is seeking a Behavioral Health Medical Director – Psychiatrist to lead clinical and utilization activities for the Florida Medicaid program. The role emphasizes peer-to-peer reviews, policy development, and collaboration with care...
apartmentRobert HalfplaceMiamievent_available
on claims  •  Interpret federal healthcare requirements (Medicare/Medicaid, fraud and abuse, program integrity) and advise on operational impact  •  Support state-specific Medicaid requirements and waiver-related matters across jurisdictions Key requirements...
apartmentJackson Health SystemplaceMiamilanguageappcast.ioevent_available
and evaluate standards of patient care. The role involves direct patient care with documentation for Medicare/Medicaid and third-party payers, and coordination with specialists. #J-18808-Ljbffr...
apartmentGastromed, LLCplaceMiamievent_available
of experience in medical billing, collections, denial management, or claims resolution.  •  Experience with insurance appeals, denial management, and payer follow-up required.  •  Knowledge of Medicare, Medicaid, and commercial insurance billing guidelines...
apartmentNmble MedicalplaceMiamievent_available
authorizations for procedures, imaging and treatment across commercial, Medicare and Medicaid plans  •  Verify eligibility and benefits, and explain coverage and patient responsibility in plain terms  •  Review and confirm CPT and ICD-10 codes against payer...
apartmentNetwork HealthplaceMiamievent_available
Overview In this role you will lead the identification and correction of encounter data errors within the Medicaid line, coordinating with vendors, clients, and internal teams. You will ensure compliance with DHS rules and support ongoing...
apartmentCano HealthplaceMiamievent_available
that complies with directives from governing agencies including Payors’ and the Centers for Medicare & Medicaid Services (CMS), as appropriate.Maintain all creative projects and workflow through internal creative team and external agenciesCurate sets...
apartmentUnitedHealth GroupplaceMiamievent_available
for program design elements with policy makers and providers Key requirements  •  8+ years of business development experience  •  4+ years procurement experience  •  Medicaid expertise and knowledge of health plan management (network, operations, clinical...
apartmentBaptist Health South FloridaplaceMiamievent_available
of recent adult, pediatric, obstetric, inpatient medical, surgical, and critical care experience required. Strong knowledge of Medicare MS-DRG and Medicaid APR-DRG assignment, severity of illness, risk of mortality, clinical validation, denial vulnerability...
apartmentMillennium Physician GroupplaceMiamilanguageappcast.ioevent_available
Legal, and Clinical leadership to drive value-based contracting and governance across the organization. The role requires 10+ years in network contracting or managed care, with proven leadership and deep expertise in Medicare Advantage, Medicaid...
apartmentCamillus Health ConcernplaceMiamievent_available
in Medicare, Medicaid, and other applicable payer programs.  •  Strong clinical assessment, diagnostic, communication, and documentation skills.  •  Commitment to culturally responsive, compassionate, and patient-centered care.  •  Ability to collaborate...
apartmentVillage South Inc.placeMiamilanguageappcast.ioevent_available
with medical clearance procedures. The successful candidate will maintain DCF and Medicare/Medicaid credentials, lead clinical staff, and collaborate with admissions for seamless patient care in a dynamic community setting. #J-18808-Ljbffr...
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