• Intake Specialist Utilization Review…

    BayCare Health System (Clearwater, FL)
    …Equal Opportunity Employer Veterans/Disabled **Position** Intake Specialist Utilization Review - Health Plan **Location** Clearwater:Park Place | Business and ... consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of… more
    BayCare Health System (12/12/25)
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  • Manager, Medical Economics (New York Health

    Molina Healthcare (Tampa, FL)
    …The Manager, Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues related ... multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the root causes of medical cost trends.… more
    Molina Healthcare (11/21/25)
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  • Plan Performance Medical Director- New York…

    Elevance Health (FL)
    … Performance Medical Director** serves as the Chief Medical Officer for the health plan 's Commercial business. This individual is responsible for oversight of ... ** Plan Performance Medical Director- New York Commercial** Location:...active unrestricted medical license to practice medicine or a health profession. + Unless expressly allowed by state or… more
    Elevance Health (12/10/25)
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  • Senior Analyst, Health Care Quality…

    CVS Health (Tallahassee, FL)
    …activities and contract requirements. Analyzes and reports on findings on health plan activities and performance. Additional responsibilities include but ... not limited to the following: - Support accreditation minimally for health plan , health equity, and long term supports and services - Support quality… more
    CVS Health (12/02/25)
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  • Health System Administrator (Assistant…

    Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
    …change. Development of plans, programs, direction, and monitoring of clinic and health plan management. Applies specialized principles and practices of ... coordinate, direct, and control programs and resources for both clinics and health plan administration. Performs financial management and resource decision… more
    Veterans Affairs, Veterans Health Administration (12/11/25)
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  • Health Coach Consultant - Work at Home…

    CVS Health (Tallahassee, FL)
    … care decision-making. -Improves the quality of care. -Improves member satisfaction with their health care plan . -Facilitates appropriate use of health care ... At CVS Health , we're building a world of health...competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** (including matching… more
    CVS Health (12/09/25)
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  • Senior Public Health Nutritionist

    MyFlorida (Hudson, FL)
    …is $50 + Family coverage is $180 + Monthly employee premium for the High Deductible Health Plan PPO/HMO: + Single coverage is $15 + Family coverage is $64.30 + ... Department of Health Working Title: SENIOR PUBLIC HEALTH NUTRITIONIST - 64005049 Pay Plan : Career...SENIOR PUBLIC HEALTH NUTRITIONIST - 64005049 Pay Plan : Career Service Position Number: 64005049 Salary: $55,534.55 Annually… more
    MyFlorida (12/11/25)
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  • Health Insurance Exchange Liaison

    Humana (Tallahassee, FL)
    …5 or more years of health industry experience. + 3 or more years of ACA/ Health Insurance Exchange Qualified Health Plan (QHP) or Qualified Dental Plan ... part of our caring community and help us put health first** The Health Insurance Exchange Liaison...primarily focused on Humana's obligations, as a Qualified Dental Plan (QDP) issuer, to meet all federal Affordable Care… more
    Humana (12/11/25)
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  • Home Health Nursing, RN

    Humana (Miramar, FL)
    …with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to ... Social Worker those patients requiring their specialized skills. Develops Home Health Aide Care Plan and perform supervisory visits for HHA and LPN/LVN as… more
    Humana (12/02/25)
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  • Manager Project Management - Pharmacy Compliance

    CVS Health (Tallahassee, FL)
    …it all with heart, each and every day. **Position Summary** The Aetna Pharmacy Health Plan Compliance team is seeking an experienced professional with Health ... action plans to become compliant. Our team collaborates with both the Aetna Health Plan business teams and with our CVS Caremark PBM colleagues to understand… more
    CVS Health (12/13/25)
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