- Prime Therapeutics (Tallahassee, FL)
- … and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client ... Management programs, and other drug therapy related products and services offered by Prime. As the primary point of...opportunities beneficial or of interest to the plan + Provide clinical guidance and support for client's Health Insurance… more
- Sevita (Sarasota, FL)
- …live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of ... including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service ...plan and cost of care; and identify and implement services to meet an individual's needs. + Provide… more
- USAA (Tampa, FL)
- …with Legal, Risk and Compliance on interpretation of CMS (Center for Medicare and Medicaid Services ) rules to provide guidance and clarification to executive ... to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the...USAA is seeking a talented **Director, Retirement Income** to lead multiple teams of Health, Life or Retirement Income… more
- Public Consulting Group (Tallahassee, FL)
- …streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Molina Healthcare (Miami, FL)
- … provider contracting experience. * Experience with NCQA, HEDIS, Medicaid , Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO ... and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.… more
- Evolent (Tallahassee, FL)
- …excellence, product innovation, clinical partnerships, and financial impact assessment + Lead provider and member engagement strategies to improve the ... on medical oncology, radiation oncology, and surgical oncology + Provide leadership to overall oncology service line...quality of care for oncology care services + Lead the development of new… more
- MyFlorida (Tampa, FL)
- …role was formerly the Eligibility Supervisor (COE) position with the Specialized Medicaid Center of Excellence within the Office of Economic Self Sufficiency. The ... position has been upgraded to a Human Services Program Supervisor II - SES and may be...is responsible determining initial and ongoing eligibility for social service programs, including reviewing, and analyzing error-prone and complex… more
- Humana (Tallahassee, FL)
- …business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members + ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Tallahassee, FL)
- …discrepancies between company records and the records of Center for Medicare and Medicaid Services . The Billing & Reconciliation Representative 2 performs varied ... that will lead to their resolution. + Provides exceptional customer service , ensuring that all interested parties are continually updated about the status of… more