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Recertification Manager Jobs in Florida (NOW HIRING)

Altegra Health

Eligibility Counselor I

Weston, FL · On-site

This position services to assist low-income Medicare beneficiaries enrolled in a contracted Managed Care Organization Medicare+Choice health plan, with the qualification and recertification process ...

Roosters

Salon Manager

Naples, FL · On-site

Managers receive robust paid training through our very own Hair Stylist Academy, regular seminars, and annual recertification! By keeping our managers in-the-know, we deliver high quality customer ...

Seaside Home Health

Clinical Manager

Delray Beach, FL · On-site

... charts (SOC, recertification, discharge, PRNs) for completeness, accuracy, and regulatory ... and manage a flexible, part-time remote schedule Remote work experience, strong self-management ...

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Recertification Manager information

What are the primary challenges a Recertification Manager faces in maintaining compliance across multiple programs?

A Recertification Manager often deals with the complexity of keeping up-to-date with changing regulations and ensuring that all certifications remain current across various programs. This requires strong organizational skills and the ability to communicate effectively with both internal teams and external regulatory bodies. Balancing the timelines for recertification, managing documentation, and coordinating audits can be demanding, but leveraging technology and fostering a collaborative team environment can help streamline these processes. Staying proactive and detail-oriented is essential for success in this role.

What is the difference between Recertification Manager vs Certification Coordinator?

AspectRecertification ManagerCertification Coordinator
Primary RoleOversees recertification processes, manages certification renewals, and ensures compliance with industry standards.Assists with certification documentation, schedules renewals, and supports certification programs.
Work EnvironmentTypically in managerial settings, overseeing teams or departments within organizations or certification bodies.Often in administrative or support roles within organizations or certification bodies.
Required CredentialsRelevant certifications, experience in certification management, and industry-specific knowledge.Certifications or training related to administrative support and certification processes.

The Recertification Manager focuses on managing and overseeing the entire recertification process, ensuring compliance and renewal of certifications. In contrast, the Certification Coordinator provides administrative support, assisting with documentation and scheduling. Both roles are essential in maintaining certification standards but differ mainly in scope and responsibility.

What are the key skills and qualifications needed to thrive as a Recertification Manager, and why are they important?

To thrive as a Recertification Manager, you need expertise in regulatory compliance, project management, and a relevant bachelor's degree, often in business or healthcare. Familiarity with compliance management software, data tracking systems, and sometimes certifications like Certified Compliance & Ethics Professional (CCEP) are commonly required. Strong organizational skills, attention to detail, and clear communication help ensure timely and accurate recertification processes. These abilities are crucial for maintaining accreditation, avoiding penalties, and ensuring ongoing organizational compliance.

What does a Recertification Manager do?

A Recertification Manager oversees the process of renewing and maintaining certifications for individuals, organizations, or products to ensure compliance with industry standards or regulatory requirements. They coordinate schedules, manage documentation, communicate with stakeholders, and ensure all necessary training or assessments are completed on time. Their role is critical in industries where certification is required for legal operation or quality assurance. They also keep up-to-date with changes in certification standards and help implement necessary changes within their organization.
What are popular job titles related to Recertification Manager jobs in Florida? For Recertification Manager jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Recertification Manager jobs in Florida look for? The top searched job categories for Recertification Manager jobs in Florida are:
What cities in Florida are hiring for Recertification Manager jobs? Cities in Florida with the most Recertification Manager job openings:
Recertification Manager jobs near you
Eligibility Counselor I

Eligibility Counselor I

Altegra Health

Weston, FL • On-site

Full-time

Re-posted 3 days ago

Job description

Company Description

Over 20 million individuals benefit from services that Altegra Health provides. When you join our team, you stand on the foundation of a successful organization that enriches an individual's life. We place a high value on qualities such as integrity, empathy, excellence and trust. 

Job Description

This position services to assist low-income Medicare beneficiaries enrolled in a contracted Managed Care Organization Medicare+Choice health plan, with the qualification and recertification process for Medicare Savings Programs. The recertification team conducts telephonic outreach to remind, assist, and keep the members enrolled by either phone outreach and mailings. This outreach is performed before and around the members' recertification date.

RESPONSIBILITIES:

Conducts telephonic outreach activities for members who need to recertify and are eligible for the Medicare Savings Programs. May also need to contact the state to properly complete the recertification process. 

Completes MSP renewal applications if needed for members. Also, insure that applications are completely filled out and every question is answered correctly before the member submits it to the state. 

Must conduct proper and effective follow up to ensure state renewal applications are sent to the state in a timely manner and Altegra Health documents are received to conduct further assistance.  

Meets daily, weekly, and monthly production goals. Must also meet quality standards by ensuring proper phone etiquette and adherence to scripts, make accurate and descriptive MMS documentation

Participates as required in Altegra Health's staff and operational development programs. Acts as a team player and communicates openly and honestly.

Maintains current knowledge of state and federal regulatory requirements to adhere to strict compliance of all aspects Altegra Health's Outreach Operations.

Demonstrates behaviors, actions, and attitudes that reflect Altegra Health's vision, mission and values.

Performs other duties as assigned.


Qualifications

QUALIFICATIONS:


High School Education; Associates Degree or Bachelors Degree preferred.

2 years experience with direct consumer interaction, telephone sales experience, Medicaid program experience preferred.

Demonstrated application of data entry and related computer skills.

Excellent oral communication skills; ability to communicate with elderly individuals and state governmental personnel.

Ability to analyze and interpret governmental program criteria; ability to interact and decipher information via telephonic or correspondence inquires.

**MUST BE BILINGUAL ENGLISH AND SPANISH 

Additional Information

We are located in Miami Lakes, FL now but in November we are moving to Weston, FL.

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