- MyFlorida (Tallahassee, FL)
- …credit received by a client for which the program has purchased a qualified health plan . (HRSA PCN 14-01) Responsible for overseeing the tracking, reporting, and ... MEDICAL/ HEALTH CARE PROG ANALYST - SES - 64055877... CARE PROG ANALYST - SES - 64055877 Pay Plan : SES Position Number: 64055877 Salary: $47,668.01-$52,688.48 Posting Closing… more
- AdventHealth (Kissimmee, FL)
- …the patient for appropriateness of home health and developing the Home Health plan in conjunction with the physician. S/he educates patients, families, ... perform care. S/he provides follow up by evaluating effectiveness of the Home Health plan , and monitoring patient/family's response to the plan to achieve… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …requirements regarding behavioral health services for enrollees in the Child Welfare Specialty Health Plan for Sunshine Health . This includes but is not ... Operations, Adoptions, Post-Adoption and/or Independent Living to coordinate behavioral health care for members of the plan ....behavioral health care for members of the plan . Provides education regarding plan benefits and… more
- Deloitte (Tallahassee, FL)
- …pharmacies and patients. + Prepare self-insured financial projections and support health plan management, including financial reporting, premium rate setting, ... performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + Act as an extension of the HR… more
- Deloitte (Boca Raton, FL)
- …a model to value the impact of health care reform on an health plan client-Review trend forecasting and predictive modeling tools-Assist clients to define ... health care liabilities-Communicate ROI for medical management and other health plan initiatives to senior level clients and Deloitte leadership-Prepare and… more
- Humana (Belle Glade, FL)
- …with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to ... part of our caring community and help us put health first** The Licensed Practical Nurse is responsible and...and for providing nursing services as ordered on patient plan of care. Report's problems/potential problems to RN/Case Manager.forward… more
- Humana (Tallahassee, FL)
- …on age-related cognitive function + Minimum one, (1) year of managed care/ health plan experience **Preferred Qualifications** + Experience with utilization ... part of our caring community and help us put health first** The Utilization Management Behavioral Health ...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
- 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 + ... 860154 Agency: Department of Health Working Title: HEALTH SUPPORT TECHNICIAN - 64054435 Pay Plan :...Title: HEALTH SUPPORT TECHNICIAN - 64054435 Pay Plan : Career Service Position Number: 64054435 Salary: $34,760.18- $34,824… more
- MyFlorida (Tallahassee, FL)
- …through the Agency's Complaint Administration Unit and performs administrative functions for health plan accreditation. This position will be hired at $1,833.39 ... Health Care Administration Working Title: 68064317 - MEDICAL/ HEALTH CARE PROGRAM ANALYST Pay Plan : Career...68064317 - MEDICAL/ HEALTH CARE PROGRAM ANALYST Pay Plan : Career Service Position Number: 68064317 Salary: $1,833.39 Biweekly… more
- Deloitte (Jacksonville, FL)
- …health care reform modeling for health plans + Prepare SQL models to price health plan benefit changes + Review MA and Part D bid submissions for accuracy ... + Create models to calculate ROI for medical management and other health plan initiatives + Prepare IBNR modeling spreadsheets for audit reviews + Provide… more