- The Cigna Group (Lake Mary, FL)
- …+ Excellent verbal and written communication and presentation skills + Knowledge of managed care operations. + Experience with business plan development. + ... their health, well-being, and peace of mind. But we don't just care about your well -being, we care about your career health too. That's why when you work with… more
- Cardinal Health (Tallahassee, FL)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- The Cigna Group (Miami, FL)
- …High School Diploma or GED required. + 3+ years proficient knowledge in health care , managed care business and knowledge of administrative operations highly ... continue to provide solutions that exceed service expectations to access care . **RESPONSIBILITIES:** + Responsible for responding to customer inquiries, solving… more
- Highmark Health (Tallahassee, FL)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- Owens & Minor (Miami, FL)
- …services, and necessary documentation. + Arrange & conduct in-services. + Analyze impact of managed care in the territory and its effect on prescribing decisions ... we provide integrated technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what we do. Our mission… more
- Prime Therapeutics (Tallahassee, FL)
- …account management, and strategy development experience in PBM, pharmacy, health plan and/or managed care + 10 years of leadership/people management experience + ... as assigned **Education & Experience** + Bachelor's degree in Finance, Business, Health Care Administration, or related area of study + 15 years of relevant work… more
- Prime Therapeutics (Tallahassee, FL)
- …agreements. + Invoicing practices, including pre-invoicing review for fee for service, managed care , diabetic supply and supplemental rebate programs. + Assists ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- MyFlorida (Tallahassee, FL)
- …for clinical eligibility screening services for enrolled or potential enrolled children for the CMS Managed Care Plan and Florida Kid Care Title XXI. * ... licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives… more
- Humana (Tallahassee, FL)
- …a Health Plan or provider-based industry + Knowledge and experience in health care / managed care regulatory environment **Additional Information** To ensure ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… 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