- Highmark Health (Tallahassee, FL)
- …combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience **Preferred** + ... over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses ...health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and… more
- Humana (Tallahassee, FL)
- … and Technology_ _:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical contracting) to ... part of our caring community and help us put health first** Humana is a $90 billion (Fortune 40)...collaborating and partnering across the enterprise (eg, with Clinical Operations , Markets, Care Management, Analytics, Pharmacy, etc.) to develop… more
- Northwest Florida Community Hospital (Chipley, FL)
- …preferred. Work record that demonstrates in-depth knowledge of hospital and home health operations , knowledge of medical terminology, negotiating skills, and ... Education Bachelor degree required; masters degree preferred; in finance, accounting, health or public administration, or related field Experience: A minimum of… more
- Highmark Health (Tallahassee, FL)
- …internal strategy groups of healthcare and related companies **Preferred** + Experience in Health Care provider network operations and technology + Experience in ... in lieu of Bachelor's Degree **Preferred** + Master's Degree in Business, Health , Economics or other related degree **EXPERIENCE** **Required** + 3-5 years of… more
- Prime Therapeutics (Tallahassee, FL)
- …experience; HS diploma or GED is required + 8 years of work experience in health care industry or operations including 2 years of account or relationship ... responsible for the strategic leadership and operational direction of Member Operations solutions related to interaction with Prime Therapeutics clients to… more
- MyFlorida (Okeechobee, FL)
- …with planning and utilization of school health staff. Monitors daily school health clinic operations and initiates actions to improve services. Assigns tasks ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 857260 Agency: Department of Health Working Title: REGISTERED NURSE - 64084274 Pay Plan:… more
- Molina Healthcare (Miami, FL)
- …be considered in lieu of Degree) **Required Experience** * Min. 5 years operations or administrative experience in healthcare/ health plan industry, including 1+ ... Associate's or Bachelor's Degree **Preferred Experience** 3+ years of healthcare or health plan supervisory experience. Managed Care operations experience. Prior… more
- Marriott (Clearwater Beach, FL)
- …and Experience** * High school diploma or GED; 1 year experience in the recreation/ health club operations or related professional area. OR * 2-year degree from ... an accredited university in Health Education, Physical Education, Hotel and Restaurant Management, or related major; no work experience required. **CORE WORK… more
- Humana (Tallahassee, FL)
- …changes in tax laws, accounting standards, and regulatory guidance, particularly those affecting health insurance and health care operations . + Collaborate ... part of our caring community and help us put health first** We are seeking a seasoned and strategic...collaborative mindset to drive excellence across our tax accounting operations . **Key Responsibilities** + Lead the preparation, review, and… more
- Molina Healthcare (St. Petersburg, FL)
- …contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations . Coordinates and facilitates meetings providing appropriate ... and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership… more