- Highmark Health (Tallahassee, FL)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... budgetary responsibility and authority. + Develop the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement… more
- Humana (Tallahassee, FL)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... a Director within the Strategy team, works collaboratively...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Owens & Minor (Naples, FL)
- …we provide integrated technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what we do. Our mission ... and location The QSight Hospital Operations Manager partners with the QSight Director Hospital Operations and is responsible for the Supply Chain logistics for… more
- J&J Family of Companies (Fort Lauderdale, FL)
- …business plans. + Experience interacting with KOLs, organized customers, and managed care organizations. + Effective communication, presentation, and ... etc.). For select HCP/Accounts, leads/coordinates with customer team to develop customer strategy . + Works with the Regional Sales Director to develop… more
- Elevance Health (Tampa, FL)
- …experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which ... treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not...not be receiving appropriate type, level, or quality of care , eg, if services are not in line with… more
- HCA Healthcare (Bradenton, 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
- Merck (Tallahassee, FL)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Improvement, Health Outcomes, Hospital Sales, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Pharmaceutical Sales Training, Sales… more
- Merck (Tallahassee, FL)
- …Customer Strategy , Health Economics, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Product Knowledge, Sales ... of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients'… more
- HCA Healthcare (Bradenton, FL)
- …we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Procedural Operations Manager today with ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Molina Healthcare (Miami, FL)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more