- CVS Health (Tallahassee, FL)
- …of healthcare and/or analysis experience. **Preferred Qualifications** * Extensive knowledge of managed care and how provider reimbursement policies relate to ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Prime Therapeutics (Tallahassee, FL)
- …Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting + Must ... 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
- CenterWell (Tallahassee, FL)
- …Medicare and/or Medicaid experience + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand Humana's business ... we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as...center. As the nation's largest provider of senior-focused primary care , one of the largest providers of home health… more
- Humana (Tallahassee, FL)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access,...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- University of Miami (Medley, FL)
- …and insurance information, place of service, referrals, claim info record, and managed care authorization requirements. + Runs insurance eligibility and fixes ... System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at… more
- CVS Health (Tallahassee, FL)
- …Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- ChenMed (Miami, FL)
- …data and making decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming healthcare for seniors ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...to rescue more and more seniors from inadequate health care . ChenMed is changing lives for the people we… more
- Molina Healthcare (Orlando, FL)
- …10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are rendered… more
- CenterWell (West Palm Beach, FL)
- …needs dictate **Use your skills to make an impact** **Required Qualifications** + Managed Health Care experience focusing on our Medicare population + 3+ ... partners, hosting community events that introduce our brand and special model of care and supporting health and well-being activities in our primary care … more
- Molina Healthcare (Orlando, FL)
- …equivalent combination of education and experience **Required Experience** * 3 years managed care experience, preferably with a national or multi-location ... of business to better support overall population heath management, reduce gaps in care and drive medical loss ratio (MLR) targets. In conjunction with the Manager… more