- Cardinal Health (Tallahassee, FL)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing and ... contract lifecycle. + Serve as the external subject matter expert on managed care, value-based payment methodologies, and population health trends, leveraging this… more
- Molina Healthcare (Miami, FL)
- …utilization management standardization, and cost-effective quality outcomes in a managed care environment. Contributes to overarching strategy to provide quality ... behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and quality initiatives. + At least 3 years… more
- Humana (Tallahassee, FL)
- …such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or ... in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Sarasota County Government (Sarasota, FL)
- …packet for professional engineer's review and approval. Management of Stormwater Managed Sites: + Conduct field inspections to confirm native habitat types ... Regional Offsite Mitigation Areas, County mitigation sites, and other Stormwater managed sites. + Coordinate long-term maintenance (nuisance plant control) and… more
- Molina Healthcare (Jacksonville, FL)
- …health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified ... in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
- Kelly Services (Jacksonville, FL)
- …top clients in Jacksonville, FL. + Kelly Outsourcing Consulting Group KellyOCG, a managed solution provider and business unit of Kelly Services, Inc., is currently ... permitted to work in the United States. **Why Kelly** **(R)** **?** The Managed Solutions practice within Kelly Outsourcing and Consulting Group (KellyOCG (R) ) is… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans. This OPS Government Analyst II position will support ... Bureau's responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic and fast-paced units that… more
- Kelly Services (Palm Beach Gardens, FL)
- …top clients in Jacksonville, FL. + Kelly Outsourcing Consulting Group KellyOCG, a managed solution provider and business unit of Kelly Services, Inc., is currently ... permitted to work in the United States. **Why Kelly** **(R)** **?** The Managed Solutions practice within Kelly Outsourcing and Consulting Group (KellyOCG (R) ) is… more
- Robert Half Technology (Plant City, FL)
- …position offers an exciting opportunity to lead technical initiatives in a Managed Services Provider environment while contributing to the growth and success of ... live within 2 hours of Tampa** + Extensive experience within a Managed Services Provider or multi-client technical environment. * Advanced networking expertise,… more
- Humana (Tallahassee, FL)
- …to make an impact** **Key Responsibilities:** + Lead and provide direction for our Managed Service Provider (MSP) + Lead Managed Service Provider in Operations ... + Participate and develop client relationships within Operations, Business partners, Managed Service Providers and Cloud Providers + Work with cross-functional teams… more
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