- Molina Healthcare (Tampa, FL)
- …Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager) **Preferred ... and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing,… more
- CVS Health (Tallahassee, FL)
- …candidate will have deep expertise in CMS Part C and D programs, Medicare Advantage bid cycle management , and pricing strategies. This role requires a strong ... At CVS Health , we're building a world of health...development and execution of actuarial analytics strategies for Medicare Advantage and Part D programs. + Inform and enhance… more
- Humana (Tallahassee, FL)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience with ... focus on collaborative business relationships, value based care, population health , or disease or care management . Medical...leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23… more
- CenterWell (Tallahassee, FL)
- …procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage /Medicare/Medicaid ... part of our caring community and help us put health first** Healthcare isn't just about health ...experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The **Denials Management Specialist** is responsible to respond to, monitor and analyze ... the dissemination of information. + Provides trended reports for operations and clinical management in order to improve performance, collaborates with and acts as a… more
- Elevance Health (FL)
- …studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an Impact** Primary duties may ... and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data-driven analyses to… more
- Matrix Providers (Jacksonville, FL)
- …coverage. + Accrued Paid Time Off (PTO) + Paid Holidays (Outlined in Handbook) + 401(k) Plan The LPN/LVN - Pain Management must have and meet the following: + ... LPN/LVN - Pain Management Location: Jacksonville, FL, United States Healthcare Provider Type : Ancillary Services (MQS) START YOUR APPLICATION… more
- AdventHealth (Celebration, FL)
- …+ PRN (per diem) team members may contribute to the Adventist HealthCare Retirement Plan (but are ineligible for employer contributions to the plan ). + Employee ... tickets, travel, Pet Insurance, and More! + Whole Person Wellbeing Resources + Mental Health Resources and Support + Employees who switch from PRN to Full or Part… more
- American Express (FL)
- …channels. The USCS team is focused on making membership an indisputable competitive advantage and helping each other become better leaders every day. The objective ... of the US Consumer Control Management Operational Risk (OR) Advisory team is to provide...you and your loved ones' physical, financial, and mental health , as well as providing the flexibility you need… more
- Ryder System (Pompano Beach, FL)
- …A CAREER PATH THAT HAS A FUTURE At Ryder, our most important competitive advantage is our people. _CULTURE- INTEGRITY- FAMILY_ . As a Rental Manager Trainee, you'll ... to operational and administrative tasks in support of location and regional management . If you're motivated, coachable, and looking to get your sales, operations,… more