- Ascendis Pharma (FL)
- …+ Serves as scientific resource at key medical, scientific, and other managed care -related conferences as assigned Contributes to Ascendis Pharma's Medical ... leveraging deep expertise in Pharmacoeconomics, real-world evidence generation, and value-based care solutions to function as a disease state, clinical, and health… more
- MyFlorida (Daytona Beach, FL)
- …which includes, but is not limited to, service limitations billable under CSR/ managed care and service limitations/billable by billing type. Ensures HMS ... claims for payment. Acts as liaison for Change Health Care with Tallahassee on behalf of the Volusia Billing...fees for military veterans who apply for a health care professional license within 60 months of an honorable… more
- America's Best (Sunrise, FL)
- …phone calls in accordance with National Vision protocol. + Processes and understands managed care plans while obtaining document information from the insurance ... parts of the optical equation - eyewear and eye care - into one excellent experience at a single...their best. We help people by making quality eye care and eyewear more affordable and accessible. As the… more
- CVS Health (Tallahassee, FL)
- …zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience **Education** Associates degree required **Anticipated ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Tallahassee, FL)
- …Experience with eligibility, claims adjudication, reserving, or financial reporting in the managed care industry. + Familiarity with Google Cloud Platform (GCP). ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Grifols Shared Services North America, Inc (Sarasota, FL)
- …in-depth knowledge of the medical industry (Specialty Pharmacy, Home Health, Managed Care , Biologics/Biotech, Pharmaceutical and/or Hospital) + Respiratory and ... be responsible for detailing the following customers: Pulmonologists, Primary Care Physicians, Allergists, Respiratory Therapists, Pharmacist and Nurses +...Primary care experience preferred + A valid driver's license +… more
- Elevance Health (FL)
- …to obtain a New York medical license after hire. + 3 years of managed care experience preferred. + Consulting experience preferred. + Utilization management ... plan to ensure that appropriate and most cost-effective medical care is received. They will work closely with the...clinical and non-clinical activities that impact efficient and effective care . + Supports new and existing customers by delivering… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of Medicaid providers, including managed care plans. MPI also imposes administrative sanctions for ... (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 866298 Agency: Agency for Health Care Administration Working Title: 68039489 - GOVERNMENT OPERATIONS CONSULTANT… more
- BayCare Health System (Clearwater, FL)
- …+ Maintain statistics related to Intake Services. + Provide clinical reviews for managed care organizations when not involved with EC responsibilities. + Provide ... network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands...basic psychiatric care to adult and geriatric patients on Inpatient psychiatric… more
- Humana (Tallahassee, FL)
- …continuously improving the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review ... clinical professional responsible for conducting comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall… more