- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as well as all aspects with evaluating implications of and reporting Managed Care data required for US and Puerto Rico government pricing calculations.… more
- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as well as all aspects with evaluating implications of and reporting Managed Care data required for US and Puerto Rico government pricing calculations.… more
- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... healthcare industry, and enjoy the stability of a Fortune 100 company, then the Publix Managed Care team may be right for you! We are a dynamic and engaging team… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating, monitoring, and delivering behavioral health services within a ... managed care environment. This role involves working closely with patients, providers, and interdisciplinary teams to assess behavioral health needs, develop… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- **Description** _Are you a Contracts and Managed Care Professional looking for a great company with a great mission and culture? Then consider joining Devereux ... Florida as a Finance Analyst (Contracts / Managed Care )!_ Devereux provides mental and behavioral health services as well as child welfare case management… more
- AdventHealth (Altamonte Springs, FL)
- …on day-to-day credentialing and privileging issues as they arise. + Assists with managed care delegated credentialing audits; conducts internal file audits. + ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- MyFlorida (Tallahassee, FL)
- …is a highly responsible professional position in the Certificate of Need & Commercial Managed Care Unit requiring the ability to function independently as well ... for compiling, reviewing, and analyzing information for the Commercial Managed Care Unit with activities related to the licensure/certification and regulation… more
- Molina Healthcare (FL)
- …to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, Certification,… more
- Humana (Tallahassee, FL)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... strong working relationship with AdventHealth Florida and Multi-state Division leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership,… more