- Humana (Tallahassee, FL)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience with ... in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such as… more
- Humana (Tallahassee, FL)
- …experience in a medical management review organization such as Medicare Advantage , managed Medicaid, or Commercial health insurance + Experience with ... Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical group practice management + Utilization … more
- CGI Technologies and Solutions, Inc. (Miami, FL)
- …**Employment Type:** Full Time **Position Description:** CGI is seeking an Advantage Enterprise Resource Planning (ERP) Human Resource Management (HRM) ... delivery teams for the implementation of the Human Resource Management (HRM) components of the CGI Advantage ...* Eligibility to participate in an attractive Share Purchase Plan (SPP) in which the company matches dollar-for-dollar contributions… more
- University of Miami (Hialeah, FL)
- …The Chief Supply Chain Officer has executive responsibility for supply chain management operations across all business entities of the University of Miami, including ... both the health system and university. This includes sourcing, contracting, strategic procurement, value analysis, warehousing, distribution, management of… more
- Datavant (Tallahassee, FL)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...As a Sr. Client Coding Project Manager, you will plan , forecast, and manage client-facing coding projects. You will… more
- Molina Healthcare (Jacksonville, FL)
- …as identifies opportunities to ensure accurate encounters are occurring to assist in the management of the organizational health care costs for all lines of ... of processes that track, evaluate, and submit encounter deletions for Medicare Advantage , ACA, and Medicaid lines of business. This role has decision-making… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina...serves as the primary point of contact between Molina Health plan and the Provider community that… more
- NASCO (Tallahassee, FL)
- …- earn insurance discounts or credit towards health -related items **Financial Health Benefits** + 401K Plan with employer matching contributions + ... and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on legal… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... **Job Duties** This role serves as the primary point of contact between Molina Health plan and the for non-complex Provider Community that services Molina… more
- Carnival Cruise Line (Miami, FL)
- …will act as a strategic partner who listens to understand business needs, plan and implement sourcing initiatives, and ensure project timelines and deliverables are ... baseline spend analysis, to generate options and document a strategic sourcing plan that may include RFP execution, negotiations with suppliers, contract execution… more