- Norstella (Tallahassee, FL)
- …VP level sales executives in applying MMIT's solutions to pharmaceutical manufacturers, managed care organizations, consultants, health care technology ... firms, and other third parties. The Solution Consultant must possess a domain expertise of all MMIT's products and seek to address the business problems expressed by MMIT's prospective and current clients. **Responsibilities:** * In collaboration with sellers… more
- Molina Healthcare (Miami, FL)
- …Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network), for management and supervision of ... Experience** 6 - 8 years working in a claims processing system. Health care environment experience. To all current Molina employees: If you are interested in… more
- AssistRx (Maitland, FL)
- …specialty pharmacy with medication assistance, prior authorizations, pharmacy benefits investigation, managed care , claims processing. + Experience working with ... pharmaceutical or biotech companies. + 5 years of progressive health care business experience (SPP, hospitals, or insurance). + Computer skills including Microsoft… more
- Centene Corporation (Tallahassee, FL)
- …required 1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required **Bilingual in ... non-covered benefits, exclusions and exemptions + Assist members in accessing health care , transportation needs and other services or issues as they occur and… more
- The Cigna Group (Sunrise, FL)
- …+ Experience in developing and managing relationships + Understanding and experience with managed care , and provider business models a plus + Team player ... health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the… more
- Centene Corporation (Orlando, FL)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance… more
- Highmark Health (Tallahassee, FL)
- …related, progressive experience int he area of specialization + An understanding of managed care principles and practices is essential + Demonstration of strong ... not limited to: prior authorization, dose and duration edits, quantity limits, step- care edits, generic sampling medical policy review and development, member facing… more
- BayCare Health System (Tampa, FL)
- …Management Team (UMT), serving as a Utilization Management liaison with managed care organizations, collaborating with Medical Staff, Business Office, ... area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.… more
- Sprinklr (FL)
- …Learn more about our culture here: The Sprinklr Way. **Job Description** **Meet Our Managed Services Team!** Our Managed Services Team at Sprinklr drives product ... our team to reach their full potential. **Consultant Roles We Hire For:** Our Managed Services Team commonly hires for three Consultant roles: + ** Managed … more
- Molina Healthcare (Orlando, FL)
- …claims experience, OR one year of customer service/provider service experience in a managed care or healthcare environment. + Strong verbal and written ... communication skills. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more