- 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
- Humana (Tallahassee, FL)
- …Medicare Advantage and Managed Medicaid products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other ... materials, internal teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and… more
- Elevance Health (Tampa, FL)
- …Health , formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance ... the delivery of care. **Regional Vice President (RVP) Provider Solutions, Behavioral Health (East Region)** **Location:** May be located in any Elevance Health… more
- CenterWell (Tallahassee, FL)
- …+ Responsible for day-to-day operations of centralized RCM offerings and Medicare Advantage financial recoveries through health plan contestations process. ... part of our caring community and help us put health first** Associate Director will lead the Revenue Cycle... first** Associate Director will lead the Revenue Cycle Management team for the CenterWell Senior Primary Care Organization.… more
- CVS Health (Tallahassee, FL)
- …book-of-business activities. **Job Requirements:** + 7+ years' work experience in Medicare Advantage Sales or Distribution + Producer Health and Life License ... At CVS Health , we're building a world of health...Medicare business objectives and outcomes in support of business plan . + Owns and leads program performance KPIs, reporting… 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
- Ryder System (Miami, FL)
- …: **_IGNITE_** _the leader within you_ At **Ryder** , our most important competitive advantage is our people. _CULTURE- INTEGRITY- FAMILY_ . In this role, you'll be ... game since 1933! **Work with America's Leader in Fleet Management and Operations.** Cutting-edge technology, competitive pay, passionate mentors,...one you want in the future) + 401(k) Savings Plan + Employee Stock Purchase Plan **Job… more
- Highmark Health (Tallahassee, FL)
- …clinical setting. + Experiencein Lean, Six Sigma, TQI, TQC or other quality management certification. + Experiencein health plan provider network performance ... matrixed teams in the use of predictive analytic tools, user interfaces, population health management tools and other data-based platforms endorsed by the… more
- Siemens Energy (Orlando, FL)
- …standards (ISO 9001, ISO 14001 and ISO 45001), auditor certification being an advantage + Experience in organizational change management , Lean certification a ... of GCO QM, you report directly to the GCO management and continuously work on topics such as risk...development opportunities + Supportive work culture + Company paid Health and wellness benefits + Paid Time Off and… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...hybrid or remote opportunity . Develops and implements account management and cross/up sell strategies to build and maintain… more
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