- Mass Markets (FL)
- …globally expanding, industry-leading organization. We are seeking an experienced and visionary Director of Strategic Growth and Capture to lead and drive large-scale ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Sumitomo Pharma (Tallahassee, FL)
- …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... through various payers (commercial and government payers to include FFS and Managed Medicaid) and remove reimbursement barriers to treatment + Build and maintain… more
- Highmark Health (Tallahassee, FL)
- …year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL,… more
- Healthfirst (FL)
- …healthcare agency. + Experience working with one or more Medicaid managed care plan productsCompliance & Regulatory Responsibilities: NALicense//Certification: ... degree from an accredited institution. + Industry work experience in healthcare such as hospital, managed or long-term care , insurance, government or other… more
- Molina Healthcare (Jacksonville, FL)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide… more
- Sevita (Fort Walton Beach, FL)
- …for each person served. + Maintains a functional understanding of funding, managed care requirements, and licensing requirements for each person served. ... Directs a department or program responsible for delivering health care services to clients/individuals. Manages staff RNs, and works...other medical service providers to assure quality standards of care are met. + Assures the overall quality of… more
- Highmark Health (Tallahassee, FL)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- AdventHealth (Altamonte Springs, FL)
- …including, but not limited to: Rural Hospitals, Critical Access Hospitals, DSH, Uncompensated Care , DGME, IME, Psych, Rehab, 340B and more. Is an important internal ... that the potential of future take backs, is understood, communicated, and managed appropriately. + Educates Finance, Revenue, Cycle & Operational Leaders on… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …to highly qualified candidate(s). The incumbent will serve as the Patient Aligned Care Team (PACT) Pain Champion located within the Orlando VA Healthcare System ... (OVAHCS) assigned to the Ambulatory Care Service. Assignments to other facilities within OVAHCS and... Team (PACT) model, to a panel of patients managed under PCMM guidelines. The incumbent is expected to… more
- Option Care Health (Pensacola, FL)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...The Pharmacy Manager is responsible for assisting the Operations Director meet operational and financial goals for the location.… more