- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid ... experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as MCG(R), ASAM or… 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
- AdventHealth (Maitland, FL)
- …Division, including Medicare Advantage, commercial payers, direct to employer agreements, managed Medicaid and various CMS programs and bundled payments. . Fosters ... effective collaboration between the PHSO, Managed Care, CIN providers, AH medical groups, Acute Care...health value-based care, risk-based payment models, commercial bundles and managed care contracting. . Ability to build and maintain… more
- Stantec (Orlando, FL)
- …that help them achieve their organization's objectives. Our award-winning team has managed thousands of projects across all sectors - airports, transit and rail, ... ports and marine, highway and bridge, including complex bridges, interchanges, and managed toll projects. Join our Major Projects Team of APD project management… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …is responsible for the establishment, development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with ... development and execution of the commercial reimbursement strategy including Medicaid and Managed Medicare plans. + Responsible and accountable for optimizing the… more
- Molina Healthcare (St. Petersburg, FL)
- …system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. + Responsible for ensuring timely reconciliation of eligibility ... and experience **Required Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or… more
- Deloitte (Tampa, FL)
- …and business leaders for complex information technology (IT) operate and managed services contracts by executing careful review of contractual documents (and ... Management as follows: + Review and analyze IT operations and managed services contracts to identify and document business-relevant contractual obligations and… more
- Ensono (Miami, FL)
- …that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep ... + 10-15 years of enterprise sales or account growth experience, within managed services or IT solutions + Demonstrated success in consultative, solution-based… more
- Highmark Health (Tallahassee, FL)
- …and state rules as well as a solid working knowledge of managed care operations, compliance program structures, information security and audit methodologies. The ... partner and advisor to business leaders to ensure business decisions are managed according to the enterprise risk strategy / framework.Participates in and… 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