- Cardinal Health (Tallahassee, FL)
- …lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship ... role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions. **_Responsibilities_**… more
- Elevance Health (Tampa, FL)
- ** Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The ** Managed Care Pharmacy Resident** will be responsible for various… more
- Elevance Health (FL)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...required, and a minimum of 3 years in health care setting; or any combination of education and experience… more
- Prime Therapeutics (Tallahassee, FL)
- …area of study + 15 years of relevant work experience in PBM, pharmacy, health plan and/or managed care with a minimum of 8 years in Medicare and/or Medicaid in a ... **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government...of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more
- Centene Corporation (Tallahassee, FL)
- …infusion patients + Strong understanding of utilization management principles and healthcare managed care . + Proficient clinical assessment and critical thinking ... (eg, InterQual, Milliman Care Guidelines, NCCN). + Exposure to government-sponsored managed care programs (eg, Medicare, Medicaid). Pay Range: $55,100.00 -… more
- Molina Healthcare (Jacksonville, FL)
- …experience in hospital acute care , inpatient review, prior authorization, managed care , or equivalent combination of relevant education and experience. ... care unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Molina Healthcare (Miami, FL)
- …experience in hospital acute care , inpatient review, prior authorization, managed care , or equivalent combination of relevant education and experience. ... experience in a medical unit or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of… more
- Cardinal Health (Tallahassee, FL)
- …business including Medicare, Medicaid, and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) ... pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is to maintain our managed care relationship with current… more
- BayCare Health System (Largo, FL)
- …with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to referrals ... **There's home care and then there's BayCare HomeCare!** At BayCare,...network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands… more