- ChenMed (North Lauderdale, FL)
- …and making decision based of the data + Experience working in Medicare managed care environment **PAY RANGE:** $48,418 - $69,168 Salary **EMPLOYEE BENEFITS** ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...all times. + Manages, coaches and provides training to Care Coordinators; ensures they are following company processes. Training… more
- Prime Therapeutics (Tallahassee, FL)
- …Care Exchange business or other Government Programs lines of business + Managed care experience + Experience in Project Management/Ownership + Experience with ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...the Individual and Small Group Exchanges under the Affordable Care Act. This position ensures quality and compliance standards… more
- Molina Healthcare (Miami, FL)
- …experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management initiatives, or equivalent ... to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching...to overarching strategy to provide quality and cost-effective member care . Essential Job Duties * Leads a team of… more
- CVS Health (Tallahassee, FL)
- …RN License + Certified Case Manager (CCM) + Case Management experience + Managed Care experience + Telephonic case management and/or telephonic customer service ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving… more
- HCA Healthcare (Sarasota, FL)
- …+ You are responsible for identifying patient accounts based on PPO, HMO, or other Managed Care Organizations + You will contact patients and provide updates on ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- HCA Healthcare (Sarasota, FL)
- …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery… more
- Somatus (Miami, FL)
- …going into homes + Telephonic case management experience + Experience working within a managed care environment Other Duties Please note this job description is ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...Case Managers are an important part of the interdisciplinary care team. They are responsible for outreaching and scheduling… more
- Centene Corporation (Tallahassee, FL)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...performance metrics, and identify opportunities for improvement in patient care and clinical practices.** **Value-Based Care Model:… more
- CVS Health (Tallahassee, FL)
- …years of clinical experience required in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more