68022139 - Government Operations Consultant Ii

Agency for Health Care Administration

FT LAUDERDALE, FL, US
$1,864.08 - $2,203.01 biweekly; not specified; not...
On-site
Medicaid managed care compliance
Claims processing analysis
Provider reimbursement review
This position is responsible for reviewing Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as it relates to claims processing

Job Summary

  • This position is responsible for reviewing Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as it relates to claims processing.
  • The Agency for Health Care Administration (AHCA) is Florida's chief health policy and planning entity, responsible for administering the Florida Medicaid program and regulating health care facilities.
  • Benefits include health insurance, life insurance, retirement options, paid leave, holidays, and opportunities for career advancement and tuition waivers.

Matching Summary

This position is responsible for reviewing Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as it relates to claims processing.

Salary

$1,864.08 - $2,203.01 Biweekly; Not specified; Not specified

Skills & Requirements

Must-have

  • Medicaid managed care compliance
  • Claims processing analysis
  • Provider reimbursement review
  • Program training delivery
  • Data collection and analysis

Nice-to-have

  • Creative and flexible mindset
  • Thrive in fast-paced environment
  • Team-based work environment
  • Empower consumers
  • High-quality healthcare delivery

Key Requirements

  • 1 year experience auditing medical claims
  • 2 years experience researching policies
  • 2 years experience using Microsoft Office
  • 2 years experience in medical claims processing

Work Rights

Not specified

Tailored Resume

Cover Letter