- Elevance Health (Miami, FL)
- …not limited to: + Directs and oversees program operations in support of corporate and health plan UM management . + Directs and collaborates with functional ... Healthcare Plans, Inc. is a proud member of Elevance Health 's family of brands. We are a licensed ...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life… more
- Prime Therapeutics (Tallahassee, FL)
- …setting. + In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology ... medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior… more
- Prime Therapeutics (Tallahassee, FL)
- …to daily communications, team meetings and project/issue resolution. + Responsible for accurate management of plan benefits coding changes, test execution ... and drives every decision we make. **Job Posting Title** Benefit Plan Configuration Advisor Assoc- REMOTE **Job...efforts while serving as a subject matter expert on benefits and claim adjudication system coding setup. **Responsibilities** +… more
- AON (Lake Mary, FL)
- …Benefits Department and Technology personnel to establish all employee benefit plan specifics. Steps in to lead Account Management tasks when they are ... experience that will lead to success + 1+ year Benefits plan administration background + 1+ year...Technology personnel to establish all employee benefit plan specifics. Steps in to lead Account Management… more
- Molina Healthcare (FL)
- …Conducts or coordinates post-implementation initiative review to measure results and report to health plan partners, senior management & stakeholders * ... management level experience or understanding of all areas of health plan operations: claims processing, customer service/call center, provider contracting,… more
- CVS Health (Tallahassee, FL)
- …be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** ... At CVS Health , we're building a world of health...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more
- CVS Health (Tallahassee, FL)
- …be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** ... At CVS Health , we're building a world of health...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more
- Humana (Tallahassee, FL)
- …field + Previous experience in discharge planning, utilization management or case management a plus + Health Plan experience + Previous ... part of our caring community and help us put health first** The Utilization Management Nurse 2... benefits , Humana provides medical, dental and vision benefits , 401(k) retirement savings plan , time off… more
- CVS Health (Fort Myers, FL)
- …we do it all with heart, each and every day. **Position Summary:** The Health Benefits Representative supports client retention by providing issue resolution and ... administration. + Responding to customers' requests for claim resolution, plan design changes, and benefit questions and...concierge customer service and issue resolution, participate in employee health fairs, as well as community and plan… more
- Actalent (Weston, FL)
- …Nursing. + Clinical Experience: 3-5 years of clinical experience. + Experience in Managed Care/ Health Plan Setting: 3-5 years of experience in a managed care, ... health plan , or insurance setting. + Experience with Utilization Management and Care Coordination. + Knowledge of Medicaid/Medicare Regulations. + Knowledge… more