- Molina Healthcare (Jacksonville, FL)
- …and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight ... to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan, monitoring and reporting… more
- Humana (Tallahassee, FL)
- …us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work ... to support optimal value based care in accordance with Medicare and Humana policy. The Medical Director ...and clinical literature as appropriate. Medical Directors will learn Medicare Part D and … more
- Prime Therapeutics (Tallahassee, FL)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... and drives every decision we make. **Job Posting Title** Director of Service Delivery **Job Description** The Director...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
- Bristol Myers Squibb (Tampa, FL)
- …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to ###@bms.com .… more
- Bristol Myers Squibb (Tampa, FL)
- …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to ###@bms.com .… more
- BAYADA Home Health Care (Orlando, FL)
- **Please note- Candidates must have COS-C, HCS-O or COQS and HCS- D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA ... Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...productivity maintained at the quarterly target set by the Director of MCM. + Prevent or decrease the occasion… 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 ... + Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including… more
- BAYADA Home Health Care (Orlando, FL)
- **Please note- Candidates must have COS-C, HCS-O or COQS and HCS- D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA ... the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review...productivity maintained at the quarterly target set by the Director of MCM. + Prevent or decrease the occasion… more
- CenterWell (Deerfield Beach, FL)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- CenterWell (Tampa, FL)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... Our care team consists of doctors, advanced practice professionals, pharm D , care coach nurses, medical assistants, behavioral health, specialists, quality-based… more