- Elevance Health (Miami, FL)
- …the following Florida Medicare plans: Simply Healthcare Plans, Healthsun Plans, Freedom Health , and Optimum Healthcare Plans and will be responsible for utilization ... provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve as a… more
- Elevance Health (FL)
- A proud member of the Elevance Health family of companies, **CarelonRx** leverages the power of new technologies and a strong, clinical-first lens, to deliver ... Pharmacy Account Management Commercial** **Location:** May be located in any Elevance Health PulsePoint office preferably in New York, NY, Atlanta, GA, Chicago, IL,… more
- Elevance Health (FL)
- …for performance improvement. The Care Consultant Sr. is passionate about population health , relationships, and insights to drive transformation across health ... quality management, financial performance, value-based incentive programs, and practice operations . + **_Relationship Management_** : Cultivate, maintain, and own… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …- Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional The LPNR provides entry level basic nursing care to ... the LPNR Preceptor and Registered Nurse (RN).Collaborates with staff to develop comprehensive health care plans and care management plans for Veterans in the clinic… more
- BrightSpring Health Services (Orange Park, FL)
- …and support of volunteers. Responsibilities + Responsible and accountable for daily operations of team to assure efficiency, delegating tasks as needed, including ... as required, monitoring/tracking of bio-hazardous pick up, maintaining flow of information and paperwork from team office to administrative office, on-call team… more
- Highmark Health (Tallahassee, FL)
- …Certification (TOGAF), Certified Information Security Professional (CISSP), Certified Information Security Manager (CISM), etc.) **Language (Other than ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Data...practices, principals, and controls in their strategies, programs, and operations . This includes, but is not limited to, specific… more
- Elevance Health (Tampa, FL)
- …medical cost trends, provider behavior, provider billing behavior, and healthcare industry operations to streamline medical costs for health plan members. **How ... decipher complex technical issues. **Minimum Requirements:** Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a… more
- Elevance Health (Tampa, FL)
- …innovation technology solutions that change the strategic landscape of how Elevance Health manages medical costs and proactively identifies and takes actions to ... + Ensures delivery and supports system solutions that support the continuous operations . + Identifies and resolves hurdles for assigned areas/groups according to… more
- Elevance Health (FL)
- …is granted as required by law._ A proud member of the Elevance Health family of companies, **CarelonRx** (formerly IngenioRx) leverages the power of new technologies ... as a clinical pharmacy resource to pharmacy benefit management and pharmacy operations teams. + Ensures compliance of the Medicaid formularies with state/federal… more
- Elevance Health (Miami, FL)
- **Clinical Operations Medical Director** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... specialty. + Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested. +… more