- CenterWell (Tampa, FL)
- …degree in nursing or business health field + Previous experience working in a managed care field + 5 or more years of previous management/supervisor level ... a part of our caring community and help us put health first** The Manager Care /Case Management in **Tampa area (** **_this is not a remote position_** **)** is… more
- ChenMed (North Lauderdale, FL)
- …data and making decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming healthcare for seniors ... Open, close and blocks schedules when advised by Network Director to do so. + Covers for Care Coordinator as needed. + When needed meet with specialist… more
- CenterWell (The Villages, FL)
- …Villages, FL + The **Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. + Develops, plans, implements, ... analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients, including updating of … more
- Grifols Shared Services North America, Inc (Gainesville, FL)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- HCA Healthcare (Ocala, FL)
- …and Qualifications** Seeking a Contract Analyst, who is responsible for translating managed care terms and model relevant parameters in Concuity/Clear Contracts ... **What you will do in this role:** + Model managed care contracts through the Concuity Calc...Performance of ad hoc analyses as assigned by departmental Director , Manager and Team Leads + Performs Peer to… more
- AdventHealth (Maitland, FL)
- …bring to the team:** + Collects all data necessary for Medical Staff, Malpractice and Managed Care credentialing within 30 days of signed Letter of Intent (LOI) ... (Data Credentialing System); populate initial credentialing application for Risk and Managed Care + Provides credentialing information and detailed instructions… more
- HCA Healthcare (Port St. Lucie, FL)
- …contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- University of Miami (Miami, FL)
- …and post-meeting wrap-up (ie, bill reconciliation, debrief, etc.) for various CME- Managed courses. The individual collaborates with the course directors and Division ... Director in the analysis and strategic planning for large...standard operating procedures, planning tools, and event analytics for CME- managed courses to optimize operational efficiencies + Evaluates current… more
- Prime Therapeutics (Tallahassee, FL)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more
- Service Source (Rockledge, FL)
- …and/or boxes. Additional Responsibilities Emergency Maintenance Services The Housing Director , Administrative Staff, and Maintenance Team are authorized to respond ... employee must immediately notify the Property Manager and Housing Director . + The on-call schedule runs from Monday at...through the following Monday at 7:59 AM and is managed by the Property Manager, who may adjust it… more