Medical Necessity Review Specialist

7 days ago


Miami, Florida, United States State of Florida Full time

Overview

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This is a professional position in the Home and Community based Medicaid Waiver unit of the State of Florida. As a Medical Necessity Review Specialist, you will play a crucial role in conducting medical necessity reviews for individuals served through the Medicaid waiver program.

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About the Job

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The ideal candidate will have a strong understanding of Medicaid policies and procedures, as well as excellent communication and analytical skills. You will work closely with Medicaid waiver support coordinators to process requests for changes in Medicaid Waiver funding due to programmatic functions of the iBudget Waiver program.

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In this role, you will be responsible for:

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  • Processing iConnect requests in a timely and accurate manner">
  • Ensuring the accuracy of documents submitted for medical necessity reviews">
  • Providing technical assistance to Medicaid waiver providers as needed">
  • Collaborating with regional office staff to resolve issues related to policy implementation and service delivery">
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Requirements

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To be successful in this role, you must have:

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  • A valid Driver's License or other efficient means of transportation">
  • A High School Diploma or its equivalent">
  • At least two years of experience in working with people with disabilities, care coordination, or in the health and human services field">
  • Proficient use of Microsoft applications (Excel, Word, PowerPoint, SharePoint)">
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Benefits

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The State of Florida offers a comprehensive benefits package, including:

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  • Annual and Sick Leave benefits">
  • Nine paid holidays and one Personal Holiday each year">
  • State Group Insurance coverage options">
  • Retirement plan options with employer contributions">
  • Flexible Spending Accounts">
  • Tuition waivers">
  • And more">
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About Us

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The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. We are committed to providing a diverse and inclusive work environment that values diversity, equity, and inclusion.

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Salary Range

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$37,264.07 - $40,521.00 Annually, $1,433.23 - $1,558.50 Bi-weekly

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Location

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Miami, FL, US, 33128



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