- Bristol Myers Squibb (Tampa, FL)
- …flexibility in our work environment. We offer a wide variety of competitive benefits , services and programs that provide our employees with the resources to pursue ... in their personal lives. Read more: careers.bms.com/working-with-us . The Associate Director , Global Supplier Human Rights, is responsible for implementing the… more
- Molina Healthcare (St. Petersburg, FL)
- …contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, ... providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements… more
- Centene Corporation (Tallahassee, FL)
- …team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... Assist the Chief Medical Director to direct and coordinate the medical management, quality...with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity… more
- CenterWell (Jacksonville, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our...Information** + Guaranteed base salary + bonus. + Excellent benefit package - **_health insurance effective on your first… more
- Sedgwick (Tallahassee, FL)
- …state's jurisdiction/ERISA regulations + Knowledge about general claim practices. + Knowledge of pharmacy processes and pharmacy benefit management a plus. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY… more
- Omnicell (St. Petersburg, FL)
- Director , Assistant General Counsel - Privacy & Data Governance We are seeking a dynamic and experienced attorney to join our legal leadership team as an Assistant ... team meetings) Since 1992, Omnicell has been committed to transforming pharmacy care through outcomes-centric innovation designed to optimize clinical and business… more
- CenterWell (Daytona Beach, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- Prime Therapeutics (Tallahassee, FL)
- …Qualifications** + Master's degree or other advanced degree + 3 years of Pharmacy Benefit Management (PBM) experience Every employee must understand, comply with ... our passion and drives every decision we make. **Job Posting Title** Product Director **Job Description** The Product Director is accountable for developing and… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Director , Underwriting - REMOTE **Job Description** The Director of Underwriting is ... of both direct and carve-in lines of business. The Director is also responsible for serving as an expert...to support margin and growth objectives for the self-insured pharmacy market + Ability to negotiate with difficult external… more
- Molina Healthcare (St. Petersburg, FL)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy , and quality functions. You surface systemic issues, steer partners toward… more